Provider Demographics
NPI:1235617580
Name:BERNHARD, SETH A (LMT)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:A
Last Name:BERNHARD
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7656 JEFFERSON HWY
Mailing Address - Street 2:1A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809
Mailing Address - Country:US
Mailing Address - Phone:225-928-8686
Mailing Address - Fax:225-928-8485
Practice Address - Street 1:7656 JEFFERSON HWY
Practice Address - Street 2:1A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-928-8686
Practice Address - Fax:225-928-8485
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist