Provider Demographics
NPI:1770478596
Name:SCHWEIKERT, ELYSE (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ELYSE
Middle Name:
Last Name:SCHWEIKERT
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18051 LORING LN
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-6665
Mailing Address - Country:US
Mailing Address - Phone:402-990-8878
Mailing Address - Fax:
Practice Address - Street 1:920 E HUBBARD ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-3385
Practice Address - Country:US
Practice Address - Phone:903-881-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT101492255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer