Provider Demographics
NPI:1225280019
Name:SWARTZ, JEANI RENEE' (LMT)
Entity Type:Individual
Prefix:MISS
First Name:JEANI
Middle Name:RENEE'
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 EVANGELINE AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2810
Mailing Address - Country:US
Mailing Address - Phone:863-385-0955
Mailing Address - Fax:
Practice Address - Street 1:1718 EVANGELINE AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2810
Practice Address - Country:US
Practice Address - Phone:863-385-0955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA12947225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist