IndividualActive
Theren Swinford, ATC, LMT, LAT
NPI 1255190849 · Athletic Trainer · Satellite Beach, FL
Provider details
- NPI number
- 1255190849
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LMT, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL2259 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
255 S Marco Way
Satellite Beach, FL 32937-3453
Phone: (202) 302-9860
Approximate (ZIP-level) locationGet directions
Mailing address
255 S Marco Way
Satellite Beach, FL 32937-3453
Registry dates
- Enumerated
- 2024-03-15
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.