Provider Demographics
NPI:1316257934
Name:KING, SETH ALTON (DPT)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:ALTON
Last Name:KING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 HIGHLAND AVE S
Mailing Address - Street 2:UNIT 110
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1761
Mailing Address - Country:US
Mailing Address - Phone:205-415-1248
Mailing Address - Fax:
Practice Address - Street 1:3569 PELHAM PKWY
Practice Address - Street 2:SUITE #7
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-2089
Practice Address - Country:US
Practice Address - Phone:205-664-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist