Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH2844 | WA |
NPI | 1053449025 |
---|---|
Provider Name | Dr. Marty Seamands |
First Address | Carlsborg, WA 98324-0963 |
Second Address | Sequim, WA 98382-6962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51960 | LABOR & INDUSTRIES (01) | WA |
U50887 | (02) | WA |