Savannah Rachel Swanlund, PTA

Individual provider Active NPI Physical Therapy Assistant · Lexington, IL

NPI 1831482363 · NPPES record last updated Mar 21, 2013

Key facts

NPI
1831482363
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
160004483 (IL)
Practice address
506 N Center St
Lexington, IL 61753-1015
Phone
(309) 310-2619
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
160004483ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Balanced Approach to Wellness PLLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160004483 IL Yes

Addresses

Primary practice location

506 N Center St
Lexington, IL 61753-1015

Mailing address

506 N Center St
Lexington, IL 61753-1015
Phone (309) 310-2619

Other providers in Lexington, IL

All providers in Lexington, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.