Individual
EMMA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
10668 LAKETON AVE, RAVENNA, MI 49451-9768
(616) 706-8532
Mailing address
10668 LAKETON AVE, RAVENNA, MI 49451-9768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002785
MI
Other
Enumeration date
11/22/2021
Last updated
07/26/2022
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