Provider Demographics
NPI:1720745672
Name:FRONT RUNNER PHYSIOTHERAPY LLC
Entity Type:Organization
Organization Name:FRONT RUNNER PHYSIOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBECK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-654-3284
Mailing Address - Street 1:1445 SADDLEBACK RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-7001
Mailing Address - Country:US
Mailing Address - Phone:717-654-3284
Mailing Address - Fax:
Practice Address - Street 1:1445 SADDLEBACK RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-7001
Practice Address - Country:US
Practice Address - Phone:717-654-3284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty