Provider Demographics
NPI:1689083586
Name:SCHWEITZER, DEBRA (LMT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 LINCOLNSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60051-8562
Mailing Address - Country:US
Mailing Address - Phone:815-347-0733
Mailing Address - Fax:
Practice Address - Street 1:3812 LINCOLNSHIRE DR
Practice Address - Street 2:
Practice Address - City:JOHNSBURG
Practice Address - State:IL
Practice Address - Zip Code:60051-8562
Practice Address - Country:US
Practice Address - Phone:815-347-0733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.008004225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist