Provider Demographics
NPI:1366688517
Name:SWIATKOWSKI, CHRISTY (LMT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:
Last Name:SWIATKOWSKI
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 1:3214 WEBB PL
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14303-2246
Mailing Address - Country:US
Mailing Address - Phone:716-284-6097
Mailing Address - Fax:
Practice Address - Street 1:3214 WEBB PL
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303-2246
Practice Address - Country:US
Practice Address - Phone:716-284-6097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016310225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist