Provider Demographics
NPI:1396014346
Name:SWISHER, CRAIG ELLIS (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ELLIS
Last Name:SWISHER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7286
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:323 VILLAGE SQUARE DR
Practice Address - Street 2:
Practice Address - City:BATESBURG LEESVILLE
Practice Address - State:SC
Practice Address - Zip Code:29070-7055
Practice Address - Country:US
Practice Address - Phone:803-317-6159
Practice Address - Fax:803-317-6167
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9022225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01051327OtherRAILROAD
P01051327OtherRAILROAD