Doctor Name: | SAM SEYBOLD |
NPI Number: | 1700018199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 4184 |
Business Practice Address: | 1726 S Division St Suite A Guthrie, OK - 730446019 |
Business Phone Number: | 4052936138 |
Business Fax Number: | 4052936252 |
Mailing Address: | 700 Nw 7th St, Suite 118 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731021212 |
Phone Number: | 4056093675 |
Fax Number: | 8005063795 |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |