Provider Demographics
NPI:1043608714
Name:JOHNS, SETH (DPT)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:JOHNS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 CARMEL ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6121
Mailing Address - Country:US
Mailing Address - Phone:214-600-1022
Mailing Address - Fax:855-899-5005
Practice Address - Street 1:4200 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6733
Practice Address - Country:US
Practice Address - Phone:214-600-1022
Practice Address - Fax:214-600-1022
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist