Provider Demographics
NPI:1902128598
Name:SWANSON, DENISE V (DPT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:V
Last Name:SWANSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:VERLATE
Other - Last Name:HARWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4215 W CONVENTION PLACE
Mailing Address - Street 2:STE B
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301
Mailing Address - Country:US
Mailing Address - Phone:509-545-1010
Mailing Address - Fax:509-545-1112
Practice Address - Street 1:6825 BURDEN BLVD
Practice Address - Street 2:STE D
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-5633
Practice Address - Country:US
Practice Address - Phone:509-545-1010
Practice Address - Fax:509-545-1112
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009821225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist