Provider Demographics
NPI:1902005085
Name:SWEETMAN, MARGARET M (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:SWEETMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 MILLAR ST
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-6122
Mailing Address - Country:US
Mailing Address - Phone:907-225-6701
Mailing Address - Fax:
Practice Address - Street 1:1245 MILLAR ST
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-6122
Practice Address - Country:US
Practice Address - Phone:907-225-6701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist