Provider Demographics
NPI:1215334867
Name:SWIHART, DANEA
Entity type:Individual
Prefix:
First Name:DANEA
Middle Name:
Last Name:SWIHART
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 1:320 SCHUBERT RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:19507-9662
Mailing Address - Country:US
Mailing Address - Phone:610-914-8413
Mailing Address - Fax:
Practice Address - Street 1:9533 OLD 22
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:PA
Practice Address - Zip Code:19507-9419
Practice Address - Country:US
Practice Address - Phone:484-269-0215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG003494225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist