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NPI Code Detail

MEDICARE: SEETLE MANN PTA

MEDICARE: SEETLE MANN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant10316CA

General Provider Information

NPI Number : 1467303412
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEETLE MANN PTA
Provider Business Mailing Address
First Line : 726 4TH ST
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-5656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 726 4TH ST
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-5656
Country : US
Telephone Number : 530-933-9497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ SEETLE MANN PTA” Practice Location

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