Provider Demographics
NPI:1548495062
Name:SWIGER, MICHAEL HEATH
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:HEATH
Last Name:SWIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 387C
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-9753
Mailing Address - Country:US
Mailing Address - Phone:304-363-3167
Mailing Address - Fax:304-363-1725
Practice Address - Street 1:RR 1 BOX 387C
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-9753
Practice Address - Country:US
Practice Address - Phone:304-363-3167
Practice Address - Fax:304-363-1725
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV000867225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant