Provider Demographics
NPI:1063064327
Name:SWIZE, ALEXANDREA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDREA
Middle Name:
Last Name:SWIZE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:SWIZE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:3942 STATE HIGHWAY 119
Mailing Address - Street 2:
Mailing Address - City:GOLIAD
Mailing Address - State:TX
Mailing Address - Zip Code:77963-3341
Mailing Address - Country:US
Mailing Address - Phone:361-645-9268
Mailing Address - Fax:
Practice Address - Street 1:2B17 7MDG
Practice Address - Street 2:697 LOUISIANA DR
Practice Address - City:DYESS AFB
Practice Address - State:TX
Practice Address - Zip Code:79607-1367
Practice Address - Country:US
Practice Address - Phone:325-696-5451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1304920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist