Provider Demographics
NPI:1174696090
Name:BURKE, SETH PIPER (PT)
Entity type:Individual
Prefix:MR
First Name:SETH
Middle Name:PIPER
Last Name:BURKE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 KING ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6215
Mailing Address - Country:US
Mailing Address - Phone:360-524-9388
Mailing Address - Fax:360-841-7054
Practice Address - Street 1:1344 KING ST
Practice Address - Street 2:SUITE 112
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6215
Practice Address - Country:US
Practice Address - Phone:360-524-9388
Practice Address - Fax:360-841-7054
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPU20001167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist