Provider Demographics
NPI:1619707015
Name:SWORDS, HEATHER J (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:J
Last Name:SWORDS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 GEORGE ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:MINFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45653-8861
Mailing Address - Country:US
Mailing Address - Phone:740-727-8436
Mailing Address - Fax:
Practice Address - Street 1:327 GEORGE ALLEN RD
Practice Address - Street 2:
Practice Address - City:MINFORD
Practice Address - State:OH
Practice Address - Zip Code:45653-8861
Practice Address - Country:US
Practice Address - Phone:740-727-8436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.08923133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered