MR. DONIEL EUGENE GUDEMAN (NPI# 1801971650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801971650 |
| Entity Type | Individual |
| Full Name | MR. DONIEL EUGENE GUDEMAN |
| Credential | LMT, AAS, MMP |
| Practice Address |
692 E. Leslie Ave. Queen Creek AZ 85242-4147 |
| Practice Telephone | 6024753593 |
| Mailing Telephone | 6024753593 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT07164 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
692 E. LESLIE AVE. |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033445168 | Milford Lee Stillman Sr. | Massage Therapist | 3598 E Austin Ln, Queen Creek, AZ 85140-4328 | 2009-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982351 | Kathryn Louise Lauritzen | Massage Therapist | 286 W Palomino Dr Unit 177, Chandler, AZ 85225-3492 | 2020-11-02 |
| 1215537832 | Jonathan Taylor | Massage Therapist | 230 N Shannon Rd Apt 6, Tucson, AZ 85745-1768 | 2020-11-01 |
| 1124628920 | Angelina Hull | Massage Therapist | 4318 W Kimberly Way, Glendale, AZ 85308-4411 | 2020-10-29 |
| 1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
| 1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
| 1396344099 | William Cook | Massage Therapist | 6750 E Speedway Blvd, Tucson, AZ 85710-1220 | 2020-10-22 |
| 1013516020 | Josey K Morrison | Massage Therapist | 1485 East 3200 South, Cane Beds, AZ 86022 | 2020-10-21 |
| 1114526035 | Heather Oneill | Massage Therapist | 13700 N Fountain Hills Blvd Apt 123, Fountain Hills, AZ 85268-3753 | 2020-10-21 |
| 1689272734 | Tricia J Milonas | Massage Therapist | 15027 W Bell Rd Ste 100, Surprise, AZ 85374-3256 | 2020-10-12 |
| 1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on MR. DONIEL EUGENE GUDEMAN.
| 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.