Provider Demographics
NPI:1821692914
Name:SWIERGOL, ALEXIS MORGAN
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MORGAN
Last Name:SWIERGOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 THORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3442
Mailing Address - Country:US
Mailing Address - Phone:724-504-0461
Mailing Address - Fax:
Practice Address - Street 1:108 THORNWOOD DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-3442
Practice Address - Country:US
Practice Address - Phone:724-504-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0290802251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty