Provider Demographics
NPI:1972167815
Name:SEA, APRIL D (LMT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:SEA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 OLD PRESTON HWY N STE 8
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-3297
Mailing Address - Country:US
Mailing Address - Phone:502-966-7211
Mailing Address - Fax:
Practice Address - Street 1:1679 OLD PRESTON HWY N STE 8
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-3297
Practice Address - Country:US
Practice Address - Phone:502-966-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY110397225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist