Provider Demographics
NPI:1972753598
Name:PATEL, SWATI K (PT)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:K
Last Name:PATEL
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 1:15667 CRYSTAL DOWNS E
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-9639
Mailing Address - Country:US
Mailing Address - Phone:248-924-0233
Mailing Address - Fax:734-451-2241
Practice Address - Street 1:15667 CRYSTAL DOWNS E
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-9639
Practice Address - Country:US
Practice Address - Phone:248-924-0233
Practice Address - Fax:734-451-2241
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501006076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist