Provider Demographics
NPI:1013536820
Name:WEST, SEAN R (DPT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:R
Last Name:WEST
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2750 MOUNT PLEASANT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2171
Mailing Address - Country:US
Mailing Address - Phone:319-209-2292
Mailing Address - Fax:319-512-7158
Practice Address - Street 1:2750 MOUNT PLEASANT ST STE 104
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-2171
Practice Address - Country:US
Practice Address - Phone:319-209-2292
Practice Address - Fax:319-512-7158
Is Sole Proprietor?:No
Enumeration Date:2020-04-11
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist