Provider Demographics
NPI:1902339195
Name:SEMMES PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SEMMES PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:FARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:251-645-3708
Mailing Address - Street 1:7965 MOFFETT RD
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-5409
Mailing Address - Country:US
Mailing Address - Phone:251-645-3708
Mailing Address - Fax:251-645-5837
Practice Address - Street 1:7965 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-5409
Practice Address - Country:US
Practice Address - Phone:254-645-3708
Practice Address - Fax:251-645-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty