RENEE DOMZALSKI


Address: 1025 N Country Club Dr, Mesa, AZ 85201-3307
Phone: 2245874274

RENEE DOMZALSKI (NPI# 1386068146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386068146
Entity Type Individual
Full Name RENEE DOMZALSKI
Credential OTR/L
Practice Address 1025 N Country Club Dr
Mesa
AZ 85201-3307
Mailing Address 1219 W Seashore Dr
Gilbert
AZ 85233-6138
Practice Telephone 2245874274
Mailing Telephone 2245874274
Enumeration Date 2014-02-13
Last Update Date 2014-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 5612 IL Other Service Providers

Office Location

Street Address 1025 N COUNTRY CLUB DR
City MESA
State AZ
Zip Code 85201-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144200288 Debra Gonzales Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2006-01-17
1629678693 Autrey Taylor Veitel Specialist/Technologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-10-29
1790390375 Rebecca Ann Galaviz Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-09-10
1811506652 Erika Mcsweeney Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1780293415 Samantha Gubka Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1003425851 Kaye Sjoholm Physical Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1740899574 Brooke Danielle Ermisch Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1023626371 Taylor Dunnahoo Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-22
1093349524 Jana Campos Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-02-24
1730719287 Nicole Frey Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942810833 Modern Sports Medicine LLC Specialist 6242 E Arbor Ave Unit 1, Mesa, AZ 85206-1309 2020-08-05
1366920910 Haleys Designer Wigs Specialist 6017 E Mckellips Rd Ste 109, Mesa, AZ 85215-2824 2018-08-04
1831604990 Shanna Kay Parker Specialist 1055 W Baseline Rd Apt 1049, Mesa, AZ 85210-9504 2017-12-11
1558884866 Affiliated Pro Monitoring, LLC Specialist 6424 E Broadway Rd Ste 120, Mesa, AZ 85206-1750 2017-07-18
1861863011 Christina Wright Specialist 11033 E Abilene Ave, Mesa, AZ 85208-8645 2015-10-14
1821465584 Arizona Medical Associates Inc Specialist 1301 South Rismon Road, Mesa, AZ 85209-3767 2015-08-28
1174926794 Breast Ink Plc Specialist 2321 S Alta Vista Cir, Mesa, AZ 85202-6474 2014-09-28
1780957985 Clear Choice Physicians, LLC Specialist 6328 E Brown Rd Ste 106, Mesa, AZ 85205-4841 2012-02-17
1538445812 Modocurogyn, Pllc Specialist 6632 E. Baseline Rd, Ste 101, Mesa, AZ 85206 2011-10-31
1508140005 Janice A Spears Specialist 1840 W Emelita Ave, #1144, Mesa, AZ 85202-4035 2011-10-03
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Competitor

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City MESA
Zip Code 85201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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