Provider Demographics
NPI:1588543425
Name:SWYHART, BRANDI (LMT)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:SWYHART
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 US HWY 79 STE B
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5546
Mailing Address - Country:US
Mailing Address - Phone:512-902-5510
Mailing Address - Fax:
Practice Address - Street 1:112 US HWY 79 STE B
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5546
Practice Address - Country:US
Practice Address - Phone:512-902-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLMT143288225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist