Provider Demographics
NPI:1477710853
Name:SEYMOUR, JOHNA FELTNER (DPT)
Entity Type:Individual
Prefix:
First Name:JOHNA
Middle Name:FELTNER
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 BARKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9676
Mailing Address - Country:US
Mailing Address - Phone:904-742-7025
Mailing Address - Fax:828-676-1376
Practice Address - Street 1:600 CAROLINA VILLAGE RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2892
Practice Address - Country:US
Practice Address - Phone:828-693-1659
Practice Address - Fax:828-693-1660
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23997225100000X
NCP11953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist