Individual
MR. JEFFERY ALLEN SWANIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1485 ST. RT. 44, SUITE D, ATWATER, OH 44201-9267
(330) 325-7390
Mailing address
1485 ST. RT. 44, SUITE 'D', RANDOLPH, OH 44265
(330) 325-7390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019139S
OH
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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