Provider Demographics
NPI:1730787722
Name:SOTO, JANET DIANNE (LMT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:DIANNE
Last Name:SOTO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:DIANNE
Other - Last Name:SWARTHOUT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5317 BETHEL PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7125
Mailing Address - Country:US
Mailing Address - Phone:614-743-0329
Mailing Address - Fax:
Practice Address - Street 1:5317 BETHEL PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7125
Practice Address - Country:US
Practice Address - Phone:614-743-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.016866225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty