Provider Demographics
NPI:1649412479
Name:SWANGER, JOANNA RAE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:RAE
Last Name:SWANGER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:MISS
Other - First Name:JOANNA
Other - Middle Name:RAE
Other - Last Name:LEININGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMT
Mailing Address - Street 1:600 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-2827
Mailing Address - Country:US
Mailing Address - Phone:610-375-9319
Mailing Address - Fax:610-375-0356
Practice Address - Street 1:600 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-2827
Practice Address - Country:US
Practice Address - Phone:610-375-9319
Practice Address - Fax:610-375-0356
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist