Mark Kenneth Domke in American Canyon - Kinesiotherapist
Mark Kenneth Domke - NPI 1396967600
Mark Kenneth Domke is a Kinesiotherapist in American Canyon, California. Mark Kenneth Domke practices all healthcare services and medical treatments related to Kinesiotherapist. The NPI Number for Mark Kenneth Domke is 1396967600. The last update date is 2007-07-08.
Mark Kenneth Domke's current location address is 18 Stonecreek Dr, American Canyon, California. You can contact this provider via phone number 7072082081. The mailing address for Mark Kenneth Domke is 18 Stonecreek Dr, American Canyon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kenneth Domke |
|---|---|
| Address | 18 Stonecreek Dr, American Canyon, California |
| Phone Number | 7072082081 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RKT |
NPI Number Detail
| NPI Number | 1396967600 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18 Stonecreek Dr |
|---|---|
| City | American Canyon |
| State | California (CA) |
| Post Code | 945033131 |
| Phone Number | 7072082081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Kinesiotherapist |
|---|---|
| Taxonomy | 226300000X |
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Definition: A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, i |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Kenneth Domke by the Centers for Medicare & Medicaid Services?
The Mark Kenneth Domke has been issued the NPI (National Provider Identifier) 1396967600, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Kenneth Domke is located?
The Mark Kenneth Domke is situated at the following address: 18 Stonecreek Dr, American Canyon, CA, 945033131.
What is the Mark Kenneth Domke's specialty and taxonomy code?
The Mark Kenneth Domke's specialty is Kinesiotherapist, and the corresponding taxonomy code is 226300000X.
On what date did the Mark Kenneth Domke receive the assignment of its 1396967600 from the Centers for Medicare & Medicaid Services?
The Mark Kenneth Domke was issued its 1396967600 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information pertaining to Mark Kenneth Domke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Kenneth Domke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX