Provider Demographics
NPI:1639200363
Name:SEGUIN, KERRI BELL
Entity Type:Individual
Prefix:MS
First Name:KERRI
Middle Name:BELL
Last Name:SEGUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:LYNN
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3306 MILTON PL
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-0733
Mailing Address - Country:US
Mailing Address - Phone:813-759-6105
Mailing Address - Fax:
Practice Address - Street 1:3306 MILTON PL
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-0733
Practice Address - Country:US
Practice Address - Phone:813-759-6105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT0009134225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist