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EMMA SWANSON

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1821755190

Individual Registrant:
 EMMA  SWANSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
10668 LAKETON AVE  RAVENNA, MI 49451-9768 US
Tel: 616-706-8532  Fax: --

Contact information for business:
10668 LAKETON AVE  RAVENNA, MI 49451-9768 US
Tel: --  Fax: --

Registration Information:
NPI: 1821755190
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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