Provider Demographics
NPI:1760569818
Name:SWEET, JEFFREY A (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:SWEET
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6212 DOWNFIELD WOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-9194
Mailing Address - Country:US
Mailing Address - Phone:704-622-0165
Mailing Address - Fax:704-875-9478
Practice Address - Street 1:6212 DOWNFIELD WOOD DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-9194
Practice Address - Country:US
Practice Address - Phone:704-622-0165
Practice Address - Fax:704-875-9478
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist