Individual
TYLER D SWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
388 SOMERSWORTH RD, NORTH BERWICK, ME 03906-6559
(207) 676-2674
Mailing address
PO BOX 31, LIMERICK, ME 04048-0031
(207) 608-0506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT301
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT301
ATHLETIC TRAINING LICENSE
ME
Enumeration date
02/15/2007
Last updated
07/08/2007
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