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ROBERT L SEAHORN
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1861582058
Individual Registrant: ROBERT L SEAHORN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3108 CIRCLE DR WHITE PINE, TN 37890-3306 US
Tel: 865-674-7454 Fax: 865-674-7455
Tel: 865-674-7454 Fax: 865-674-7455
Contact information for business:
PO BOX 1167 WHITE PINE, TN 37890-1167 US
Tel: 865-919-0029 Fax: 865-674-7455
Tel: 865-919-0029 Fax: 865-674-7455
Registration Information:
NPI: 1861582058
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | TN | 3965 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3650016 | TN | 05 |
