MRS. DONNA KLOKKEVOLD DAVIDSON (NPI# 1770796542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770796542 |
Entity Type | Individual |
Full Name | MRS. DONNA KLOKKEVOLD DAVIDSON |
Other Name | MS. DONNA KLOKKEVOLD |
Credential | P.T. |
Practice Address |
25960 White Spruce Dr Eagle River AK 99577-9668 |
Practice Telephone | 9076942545 |
Practice Fax Number | 9076942545 |
Mailing Telephone | 9076942545 |
Mailing Fax Number | 9076942545 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
A0065 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487909370 | Donna L Davidson | Student in an Organized Health Care Education/Training Program | 185 Tweed Blvd, Nyack, NY 10960 | 2012-07-17 |
1588815351 | Donna Leigh Davidson | Registered Nurse | 48 Heckscher Spur Dr, East Islip, NY 11730-1220 | 2008-10-09 |
1689823205 | Donna M Davidson | Registered Nurse | 7040 Lake Ellenor Dr, Orlando, FL 32809-5750 | 2008-09-18 |
1225192636 | Donna Davidson | Physical Therapist | 6900 West Country Club Drive, Huntington, WV 25705 | 2006-12-20 |
1801981873 | Donna Marie Davidson | Speech-Language Pathologist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2006-10-04 |
Street Address |
25960 WHITE SPRUCE DR |
City | EAGLE RIVER |
State | AK |
Zip Code | 99577-9668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
Find all providers in zip 99577 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568731511 | Carrie Lynne Gray | Physical Therapist | 12001 Business Blvd Ste 179, Eagle River, AK 99577-7743 | 2011-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790335800 | Katie M Gatica | Physical Therapist | 8832 E Central Park Cir, Palmer, AK 99645-8331 | 2019-09-19 |
1194120964 | Kathlene Kryn Qualls | Physical Therapist | 401 N. Bogard, Wasilla, AK 99654-7108 | 2014-10-23 |
1891034575 | Kidability Physical Therapy, LLC | Physical Therapist | 6406 S. Gonder Road, Big Lake, AK 99652 | 2013-01-31 |
1083812507 | Annette Freymueller | Physical Therapist | 1258 Viewpointe Dr, Fairbanks, AK 99709-6744 | 2007-07-05 |
1437370855 | All for Kids Pediatric Therapy Clinic | Physical Therapist | 6927 Old Seward Hwy., Suite 100, Anchorage, AK 99577-2283 | 2007-05-01 |
1679618144 | Kristin M Bacon | Physical Therapist | 12801 Jeanne Rd, Anchorage, AK 99516-3347 | 2007-02-21 |
1316081466 | Karen Elizabeth Adams | Physical Therapist | 6311 Debarr Rd, Suite J, Anchorage, AK 99504-1701 | 2007-02-20 |
1164571238 | Programs for Infants & Children, Inc | Physical Therapist | 3330 Arctic Blvd Ste 101, Anchorage, AK 99503-4580 | 2007-01-09 |
1932713450 | Nathaniel G Busbee | Physical Therapist | 6927 Old Seward Hwy Ste 100, Anchorage, AK 99518-2283 | 2020-09-02 |
1801414685 | Brandon Chagnon | Physical Therapist | 207 E Northern Lights Blvd Ste 101, Anchorage, AK 99503-2730 | 2020-07-08 |
Find all providers with the same taxonomy |
City | EAGLE RIVER |
Zip Code | 99577 |
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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.