Provider Demographics
NPI:1124868518
Name:SWAN, NED ANTHONY (PT, DPT)
Entity type:Individual
Prefix:
First Name:NED
Middle Name:ANTHONY
Last Name:SWAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 CASCADE AVE UNIT 2309
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8586
Mailing Address - Country:US
Mailing Address - Phone:779-203-0700
Mailing Address - Fax:
Practice Address - Street 1:6151 THORNTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-2408
Practice Address - Country:US
Practice Address - Phone:515-393-2068
Practice Address - Fax:515-414-7707
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist