Healthcare Provider Details
I. General information
NPI: 1073085858
Provider Name (Legal Business Name): DANIEL ARTHUR SWEANEY CDPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/18/2018
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7440 W MARGINAL WAY S
SEATTLE WA
98108-4141
US
IV. Provider business mailing address
712 1/2 98TH STREET SOUTH
TACOMA WA
98444
US
V. Phone/Fax
- Phone: 206-768-1990
- Fax:
- Phone: 253-961-5119
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: