Provider Demographics
NPI:1134829625
Name:SWIFT, YUDY KATERINE (LMT)
Entity type:Individual
Prefix:
First Name:YUDY
Middle Name:KATERINE
Last Name:SWIFT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:YUDY
Other - Middle Name:KATERINE
Other - Last Name:BONILLA RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:60 W FOREST WAY
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30054-2613
Mailing Address - Country:US
Mailing Address - Phone:404-429-8887
Mailing Address - Fax:404-429-8887
Practice Address - Street 1:60 W FOREST WAY
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:GA
Practice Address - Zip Code:30054-2613
Practice Address - Country:US
Practice Address - Phone:404-429-8887
Practice Address - Fax:404-429-8887
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist