Provider Demographics
NPI:1790569754
Name:SWIFT, LINDSAY C (BS, LMT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:C
Last Name:SWIFT
Suffix:
Gender:F
Credentials:BS, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 DANA DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-8903
Mailing Address - Country:US
Mailing Address - Phone:513-502-8203
Mailing Address - Fax:
Practice Address - Street 1:5958 FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1506
Practice Address - Country:US
Practice Address - Phone:513-502-8203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.023321225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist