Provider Demographics
NPI:1174188049
Name:SEEDS-MURPHY, JERIMIAH JOSEPH ZACHARY (LMT, PTA)
Entity Type:Individual
Prefix:
First Name:JERIMIAH JOSEPH
Middle Name:ZACHARY
Last Name:SEEDS-MURPHY
Suffix:
Gender:M
Credentials:LMT, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21915 6TH AVE W
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8137
Mailing Address - Country:US
Mailing Address - Phone:909-969-8716
Mailing Address - Fax:
Practice Address - Street 1:21915 6TH AVE W
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8137
Practice Address - Country:US
Practice Address - Phone:909-969-8716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60303147225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist