Individual
MIKAELA SCHWANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N LITTLE HORN AVE, MOORCROFT, WY 82721-5045
(307) 756-3344
Mailing address
11506 NICHOLAS ST STE 105, OMAHA, NE 68154-4421
(323) 977-4437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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