National Provider Identifier

Richard C Swenson

Richard C Swenson is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 871-9915.

NPI 1790820801Kenmore, NYPhysical Therapist

Profile Overview

NPI
1790820801
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 20, 2007
Last Updated
July 08, 2007

Practice Location

  • 2565 Elmwood Ave
  • Kenmore, NY 14217-1939

Phone: (716) 871-9915

Mailing Address

  • 25 Ketchum Pl
  • Buffalo, NY 14213-2662

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1790820801
Entity Type
Individual
Last Name
Swenson
First Name
Richard
Middle Name
C
Name Prefix
Mr.
Mailing Street Address
25 Ketchum Pl
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2662
Mailing Country
US
Mailing Phone
(716) 603-8378
Practice Street Address
2565 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1939
Practice Country
US
Practice Phone
(716) 871-9915
Enumeration Date
February 20, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)