Provider Demographics
NPI:1992344006
Name:MCEACHERN, SEAN (DPT)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:MCEACHERN
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 1:4509 FREIDRICH LN
Mailing Address - Street 2:STE 210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-1866
Mailing Address - Country:US
Mailing Address - Phone:325-480-0173
Mailing Address - Fax:
Practice Address - Street 1:7701 N LAMAR BLVD STE 416
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1081
Practice Address - Country:US
Practice Address - Phone:512-206-0433
Practice Address - Fax:512-206-0797
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist