Provider Demographics
NPI:1326289000
Name:SWARTZ, JENNIFER LYNN (CMT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21207 29 RD
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:KS
Mailing Address - Zip Code:67844-9224
Mailing Address - Country:US
Mailing Address - Phone:620-646-5573
Mailing Address - Fax:620-646-5573
Practice Address - Street 1:319 GRAND AVE
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:KS
Practice Address - Zip Code:67869-9704
Practice Address - Country:US
Practice Address - Phone:620-563-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist