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NPI Code Detail

MEDICARE: SEAN POWELL

MEDICARE: SEAN POWELL
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
1225100000XPhysical TherapistPT61658682WA

General Provider Information

NPI Number : 1700683299
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN POWELL
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number : 866-370-8206
Fax Number :
Provider Business Practice Location Address
First Line : 5977 E GRANT RD STE 101
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2369
Country : US
Telephone Number : 520-448-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 11/05/2025

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Directions to “ SEAN POWELL ” Practice Location

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