Provider Demographics
NPI:1740565373
Name:SWANSON, LORNA ELLEN (PHD, PT)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:ELLEN
Last Name:SWANSON
Suffix:
Gender:F
Credentials:PHD, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 S CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3309
Mailing Address - Country:US
Mailing Address - Phone:865-637-2321
Mailing Address - Fax:865-637-4664
Practice Address - Street 1:709 S CONCORD ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3309
Practice Address - Country:US
Practice Address - Phone:865-637-2321
Practice Address - Fax:865-637-4664
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist