Provider Demographics
NPI:1881460160
Name:SWIFT, MARCIE CAMILLE (MSPT, PHD)
Entity type:Individual
Prefix:
First Name:MARCIE
Middle Name:CAMILLE
Last Name:SWIFT
Suffix:
Gender:F
Credentials:MSPT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9626 LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2263
Mailing Address - Country:US
Mailing Address - Phone:913-220-3329
Mailing Address - Fax:
Practice Address - Street 1:6400 SPRINT PKWY
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1166
Practice Address - Country:US
Practice Address - Phone:913-315-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112215225100000X
KS11-02408225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist