Healthcare Provider Details

I. General information

NPI: 1962344754
Provider Name (Legal Business Name): THE SWELL SPOT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 N NORTHSTAR DR
ST GEORGE UT
84770-5185
US

IV. Provider business mailing address

544 N NORTHSTAR DR
ST GEORGE UT
84770-5185
US

V. Phone/Fax

Practice location:
  • Phone: 530-906-2232
  • Fax:
Mailing address:
  • Phone: 530-906-2232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA M CHEVREAUX
Title or Position: CLINICAL DIRECTOR
Credential: PT
Phone: 530-906-2232