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NPI Code Detail

MEDICARE: GAILE SWAYZE

MEDICARE: GAILE SWAYZE
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
1225200000XPhysical Therapy AssistantP1 60043580WA

General Provider Information

NPI Number : 1811193758
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAILE SWAYZE
Provider Business Mailing Address
First Line : 12310 MAXVALE DR SE
Second Line :
City : YELM
State : WA
Zip : 98597-9256
Country : US
Telephone Number : 253-720-3845
Fax Number :
Provider Business Practice Location Address
First Line : 4001 CAPITAL MALL DR SW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8657
Country : US
Telephone Number : 360-357-7677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 10/30/2013

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Directions to “ GAILE SWAYZE ” Practice Location

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