Provider Demographics
NPI:1154965234
Name:SWINDELL, SYDNEY REBECCA (DPT)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:REBECCA
Last Name:SWINDELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 LAWNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-5227
Mailing Address - Country:US
Mailing Address - Phone:802-735-4208
Mailing Address - Fax:
Practice Address - Street 1:277 BLAIR PARK RD STE 110
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7885
Practice Address - Country:US
Practice Address - Phone:802-878-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0134110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist