Provider Demographics
NPI:1366778318
Name:BACHTEL, SEEGEE MICHELE (DPT)
Entity type:Individual
Prefix:
First Name:SEEGEE
Middle Name:MICHELE
Last Name:BACHTEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SEEGEE
Other - Middle Name:
Other - Last Name:KISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1779 ALPINE LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:TERRA ALTA
Mailing Address - State:WV
Mailing Address - Zip Code:26764
Mailing Address - Country:US
Mailing Address - Phone:304-789-3000
Mailing Address - Fax:304-212-2584
Practice Address - Street 1:1779 ALPINE LAKE ROAD
Practice Address - Street 2:
Practice Address - City:TERRA ALTA
Practice Address - State:WV
Practice Address - Zip Code:26764
Practice Address - Country:US
Practice Address - Phone:304-789-3000
Practice Address - Fax:304-212-2584
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV002798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist