Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC30726 | CA |
NPI | 1356530299 |
---|---|
Provider Name | Dr. Ryan Swink |
First Address | Goleta, CA 93117-2304 |
Second Address | Goleta, CA 93117-2304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2007 |
Last Update Date | 14/02/2020 |