Individual provider · Type 1 NPI

Jennifer Swinehart, CPED, ATC, COF

Pedorthist · Wixom, MI

NPI number 1194439620 Active

Practice location

29822 S Wixom Rd
Wixom, MI 48393-3434

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X0895025557 (MI)
Orthotic Fitter 225000000XNone listed
Pedorthist Primary 224L00000XNone listed

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

7 other providers at this address

About NPI 1194439620

Jennifer Swinehart, CPED, ATC, COF's National Provider Identifier is 1194439620, issued on Jan 10, 2023. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Wixom, MI. The record was last updated on Oct 27, 2026.