Individual
DR. JESSICA R. SEABURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
13 TUMBLEWEED TRL, LIVINGSTON, MT 59047-8937
(406) 224-8908
Mailing address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-4380
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7150064
—
MT
01
—
M011002618
MEDICARE PTAN
MT
Enumeration date
08/08/2012
Last updated
09/10/2021
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