Provider Demographics
NPI:1023693439
Name:SCHWIGER, DAWN (LMT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:SCHWIGER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6854 PROMWAY AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7302
Mailing Address - Country:US
Mailing Address - Phone:330-353-1710
Mailing Address - Fax:339-433-1955
Practice Address - Street 1:6854 PROMWAY AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7302
Practice Address - Country:US
Practice Address - Phone:330-353-1710
Practice Address - Fax:339-433-1955
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.016844225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty