Individual
DON RUSSELL SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4205 W 94TH TER, PRAIRIE VILLAGE, KS 66207-2715
(913) 730-7507
(913) 730-7503
Mailing address
4205 W 94TH TER, PRAIRIE VILLAGE, KS 66207-2715
(913) 730-7507
(913) 730-7503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017040934
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017040934
MISSOURI BOARD OF THERAPEUTIC MASSAGE
MO
Enumeration date
05/17/2018
Last updated
06/16/2018
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