RENEE DOMZALSKI (NPI# 1386068146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 5612 | IL | Other Service Providers |
Street Address |
1025 N COUNTRY CLUB DR |
City | MESA |
State | AZ |
Zip Code | 85201-3307 |
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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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 |
Find all providers in zip 85201 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
Find all providers in MESA |
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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.