Provider Demographics
NPI:1124791090
Name:FRANKLIN, SETH
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CIRCLE RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS CHAPEL
Mailing Address - State:TN
Mailing Address - Zip Code:38361-4103
Mailing Address - Country:US
Mailing Address - Phone:731-610-3354
Mailing Address - Fax:
Practice Address - Street 1:30 CIRCLE RD
Practice Address - Street 2:
Practice Address - City:MORRIS CHAPEL
Practice Address - State:TN
Practice Address - Zip Code:38361-4103
Practice Address - Country:US
Practice Address - Phone:731-610-3354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7786225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant