Individual
SETH TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
19310 E 50TH TER S, SUITE A, INDEPENDENCE, MO 64055-5564
(816) 795-1507
(816) 795-1533
Mailing address
19310 E 50TH TER S, SUITE A, INDEPENDENCE, MO 64055-5564
(816) 795-1507
(816) 795-1533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05562
KS
225100000X
Physical Therapist
Primary
2016019546
MO
Other
Enumeration date
06/22/2007
Last updated
01/13/2022
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