Provider Demographics
NPI:1376976050
Name:SWEENEY, ROBERT WILLIAM JR (MS, AT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:SWEENEY
Suffix:JR
Gender:M
Credentials:MS, AT
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Mailing Address - Street 1:863 BALLATER DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7219
Mailing Address - Country:US
Mailing Address - Phone:614-595-1343
Mailing Address - Fax:614-292-5825
Practice Address - Street 1:535 IRVING SCHOTTENSTEIN DRIVE
Practice Address - Street 2:WOODY HAYES ATHLETIC CENTER
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201
Practice Address - Country:US
Practice Address - Phone:614-292-6463
Practice Address - Fax:614-292-5825
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAT6202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer