Provider Demographics
NPI:1235362922
Name:SEAMAN, MINDY LOUISE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:LOUISE
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:MINDY
Other - Middle Name:LOUISE
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:113 NE JOHNSON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-4138
Mailing Address - Country:US
Mailing Address - Phone:817-447-2323
Mailing Address - Fax:817-447-3311
Practice Address - Street 1:113 NE JOHNSON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-4138
Practice Address - Country:US
Practice Address - Phone:817-447-2323
Practice Address - Fax:817-447-3311
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1190618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist