MEDICARE: ERIC KYLE SVEINSSON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	34705	FL

General Provider Information

NPI Number	:	1518512656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC KYLE SVEINSSON DPT

Provider Business Mailing Address
First Line	:	7848 GREAT OAK DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7110
Country	:	US
Telephone Number	:	509-480-8226
Fax Number	:

Provider Business Practice Location Address
First Line	:	7848 GREAT OAK DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7110
Country	:	US
Telephone Number	:	509-480-8226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	02/06/2024

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