Provider Demographics
NPI:1942331251
Name:SWANBERG, ANNE KAROL (MS, ATC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:KAROL
Last Name:SWANBERG
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15092 DUNWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-5855
Mailing Address - Country:US
Mailing Address - Phone:651-423-8469
Mailing Address - Fax:
Practice Address - Street 1:15092 DUNWOOD TRL
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-5855
Practice Address - Country:US
Practice Address - Phone:651-423-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer