Provider Demographics
NPI:1174982847
Name:SEGER, KIRSTEN MARIE (DPT)
Entity type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:MARIE
Last Name:SEGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DON DESCH DR
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1583
Mailing Address - Country:US
Mailing Address - Phone:419-584-9148
Mailing Address - Fax:419-678-3491
Practice Address - Street 1:100 DON DESCH DR
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1583
Practice Address - Country:US
Practice Address - Phone:419-584-9148
Practice Address - Fax:419-678-3491
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH014185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist