Provider Demographics
NPI:1255400743
Name:SWENSKI, DAVID DEAN (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DEAN
Last Name:SWENSKI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 S LOS ALTOS PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-8616
Mailing Address - Country:US
Mailing Address - Phone:775-354-1188
Mailing Address - Fax:775-354-1187
Practice Address - Street 1:5901 S LOS ALTOS PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-8616
Practice Address - Country:US
Practice Address - Phone:775-354-1188
Practice Address - Fax:775-354-1187
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist