Provider Demographics
NPI:1205857455
Name:SWIGARD, BARRETT V (MPT, OCS, CMDT)
Entity Type:Individual
Prefix:MR
First Name:BARRETT
Middle Name:V
Last Name:SWIGARD
Suffix:
Gender:M
Credentials:MPT, OCS, CMDT
Other - Prefix:MR
Other - First Name:BRET
Other - Middle Name:V
Other - Last Name:SWIGARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT, OCS, CMDT
Mailing Address - Street 1:8630 164TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3606
Mailing Address - Country:US
Mailing Address - Phone:425-658-4980
Mailing Address - Fax:425-658-4977
Practice Address - Street 1:8630 164TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3606
Practice Address - Country:US
Practice Address - Phone:425-658-4980
Practice Address - Fax:425-658-4977
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist