Provider Demographics
NPI:1164479804
Name:SEFF, SUZANNE (PT)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:SEFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 PLAYERS CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8844
Mailing Address - Country:US
Mailing Address - Phone:901-685-7227
Mailing Address - Fax:901-748-3489
Practice Address - Street 1:3250 PLAYERS CLUB PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8844
Practice Address - Country:US
Practice Address - Phone:901-685-7227
Practice Address - Fax:901-748-3489
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQ53390Medicare UPIN
K552M469Medicare ID - Type Unspecified