Provider Demographics
NPI:1841427291
Name:WELLS, SEAN M (PT, OCS, ATC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:M
Last Name:WELLS
Suffix:
Gender:M
Credentials:PT, OCS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 PINE RIDGE RD
Mailing Address - Street 2:#20
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2107
Mailing Address - Country:US
Mailing Address - Phone:239-597-2370
Mailing Address - Fax:
Practice Address - Street 1:1575 PINE RIDGE RD
Practice Address - Street 2:#20
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2107
Practice Address - Country:US
Practice Address - Phone:239-597-2370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist