Individual
DEREK SWOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
20 W 6TH ST STE 101, SPENCER, IA 51301-3906
(712) 580-5008
(712) 250-2415
Mailing address
710 8TH ST N, MOUNTAIN LAKE, MN 56159-1308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111241
IA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/19/2016
Last updated
11/22/2021
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