Healthcare Provider Details

I. General information

NPI: 1073808150
Provider Name (Legal Business Name): KATRINA J SCHWIER LMT PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N FEDERAL HWY SUITE 201
STUART FL
34994-1005
US

IV. Provider business mailing address

4409 SE HAMILTON LN
STUART FL
34997-5567
US

V. Phone/Fax

Practice location:
  • Phone: 772-285-0397
  • Fax:
Mailing address:
  • Phone: 772-285-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA55754
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: