Healthcare Provider Details

I. General information

NPI: 1497392138
Provider Name (Legal Business Name): SWORD HEALTH TECHNOLOGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13937 S SPRAGUE LN STE 100
DRAPER UT
84020-7864
US

IV. Provider business mailing address

13937 S SPRAGUE LN STE 100
DRAPER UT
84020-7864
US

V. Phone/Fax

Practice location:
  • Phone: 385-308-8034
  • Fax:
Mailing address:
  • Phone: 385-308-8034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. VIRGILIO BENTO
Title or Position: PRESIDENT & CEO
Credential:
Phone: 646-991-9028