Provider Demographics
NPI:1659740850
Name:SWOVERLAND, AARON DAVID (DPT)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:DAVID
Last Name:SWOVERLAND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3899 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-8153
Mailing Address - Country:US
Mailing Address - Phone:231-944-6541
Mailing Address - Fax:
Practice Address - Street 1:338 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:KALKASKA
Practice Address - State:MI
Practice Address - Zip Code:49646-5117
Practice Address - Country:US
Practice Address - Phone:231-631-2496
Practice Address - Fax:231-346-6013
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501017429225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist