Healthcare Provider Details

I. General information

NPI: 1598056418
Provider Name (Legal Business Name): AMY MICHELLE SWERTEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY MICHELLE SILVER

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 07/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GREEN VALLEY PKWY BUILDING 8 STE B
HENDERSON NV
89074-5885
US

IV. Provider business mailing address

2433 VILLAGE GLEN CT
MARYLAND HEIGHTS MO
63043-1529
US

V. Phone/Fax

Practice location:
  • Phone: 702-998-3333
  • Fax:
Mailing address:
  • Phone: 314-878-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2528
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: