Provider Demographics
NPI:1598902561
Name:SWARTZ, MARGARET (PTA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:RICE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54868-1225
Mailing Address - Country:US
Mailing Address - Phone:715-234-9101
Mailing Address - Fax:715-234-0748
Practice Address - Street 1:1016 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-1225
Practice Address - Country:US
Practice Address - Phone:715-234-9101
Practice Address - Fax:715-234-0748
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50619225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant