| Doctor Name: | KELSEY SWAN |
| NPI Number: | 1639424815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 3131 |
| Business Practice Address: | 8419 S 73rd Plz Suite 104 Papillion, NE - 680461507 |
| Business Phone Number: | 4029912745 |
| Business Fax Number: | 4029912748 |
| Mailing Address: | Po Box 34669, OMAHA |
| State: | NE |
| Postal Code: | 681340669 |
| Phone Number: | 4029326791 |
| Fax Number: | 4029333163 |
| NPI Enumeration Date: | 07/13/2012 |
| NPI Last Update Date: | 07/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |