Provider Demographics
NPI:1578968152
Name:SEPPIE PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SEPPIE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:COLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEPPIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:307-382-3242
Mailing Address - Street 1:1623 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6224
Mailing Address - Country:US
Mailing Address - Phone:440-992-6770
Mailing Address - Fax:
Practice Address - Street 1:416 W BLAIR AVE
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-7113
Practice Address - Country:US
Practice Address - Phone:307-382-3242
Practice Address - Fax:307-382-3279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-25
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-1327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty