Most Relevant Information
Provider Data
| NPI Number: | 1003306648 |
| Provider Name: | DON RUSSELL SWIFT LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 2017040934 |
Most Important Dates
| Enumeration Date: | 05/17/2018 |
| Last Updated: | 06/16/2018 |
Provider Practice Location
4205 W 94TH TER
PRAIRIE VILLAGE
KS
662072715
Practice Location Phone/Fax
| Phone: | 9137307507 |
| Fax: | 9137307503 |
Provider Mailing Location
4205 W 94TH TER
PRAIRIE VILLAGE
KS
662072715
Provider Mailing Phone/Fax
| Phone: | 9137307507 |
| Fax: | 9137307503 |