Provider Demographics
NPI:1467932855
Name:SWIMLINE, KARI MICHELLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:MICHELLE
Last Name:SWIMLINE
Suffix:
Gender:F
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 1:210 ARGONNE DR
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2434
Mailing Address - Country:US
Mailing Address - Phone:716-517-6804
Mailing Address - Fax:
Practice Address - Street 1:30 WILSON RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7026
Practice Address - Country:US
Practice Address - Phone:716-529-3135
Practice Address - Fax:716-332-3570
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043390225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist