Provider Demographics
NPI:1831505817
Name:SWAIN, KATIE LYNN
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:LYNN
Last Name:SWAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 MILLS GAP RD
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-8549
Mailing Address - Country:US
Mailing Address - Phone:828-329-8370
Mailing Address - Fax:
Practice Address - Street 1:480 MILLS GAP RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8549
Practice Address - Country:US
Practice Address - Phone:828-329-8370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer