Provider Demographics
NPI:1235666579
Name:SEAMAN, BRADY LEVI (DC)
Entity Type:Individual
Prefix:DR
First Name:BRADY
Middle Name:LEVI
Last Name:SEAMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13134 N SALOON ST
Mailing Address - Street 2:
Mailing Address - City:RATHDRUM
Mailing Address - State:ID
Mailing Address - Zip Code:83858-0640
Mailing Address - Country:US
Mailing Address - Phone:425-321-0500
Mailing Address - Fax:
Practice Address - Street 1:1500 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2479
Practice Address - Country:US
Practice Address - Phone:208-410-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60758878111N00000X
IDCHIA-2217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor