Provider Demographics
NPI:1801005707
Name:SWISHER, GAIL MARIE (ATC)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:MARIE
Last Name:SWISHER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5541 RENDON ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5636
Mailing Address - Country:US
Mailing Address - Phone:610-470-0929
Mailing Address - Fax:614-355-6072
Practice Address - Street 1:5541 RENDON ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-5636
Practice Address - Country:US
Practice Address - Phone:610-470-0929
Practice Address - Fax:614-355-6072
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer