MRS. DAVONNA MARIE WILLIS (NPI# 1649712019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649712019 |
| Entity Type | Individual |
| Full Name | MRS. DAVONNA MARIE WILLIS |
| Credential | ATC, LMT |
| Practice Address |
625 N Gilbert Rd Suite 103 Gilbert AZ 85234-3398 |
| Practice Telephone | 4807790744 |
| Mailing Telephone | 4807790744 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225700000X | Massage Therapist | MT-12710 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
625 N GILBERT RD SUITE 103 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811243918 | Blessed Home Health Care,inc. | Home Health | 625 N Gilbert Rd, Suite 106, Gilbert, AZ 85234-3398 | 2012-07-26 |
| 1548702111 | Blue Skyes Wellness Center LLC | Clinic/Center | 625 N Gilbert Rd, Suite 103, Gilbert, AZ 85234-3398 | 2016-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
|---|---|---|---|---|
| 1134741499 | Katrina Lynn Corral | Massage Therapist | 3303 E Baseline Rd Bldg 5, Gilbert, AZ 85234-2738 | 2020-05-09 |
| 1003322207 | Michael Yuhaniak | Massage Therapist | 1341 E Strawberry Dr, Gilbert, AZ 85298-6898 | 2017-12-26 |
| 1639693310 | Robin Ward | Massage Therapist | 1166 E Warner Rd Ste 219, Gilbert, AZ 85296-3066 | 2017-08-03 |
| 1295190601 | Heather Wildstein | Massage Therapist | 1244 E Marcella Ln, Gilbert, AZ 85295-1765 | 2015-12-30 |
| 1215325774 | Tara Ellan Kemnitz | Massage Therapist | 1467 W Elliot Rd Ste 103, Gilbert, AZ 85233-5167 | 2015-01-06 |
| 1760801732 | Jennifer Kedzierski | Massage Therapist | 2604 E Megan St, Gilbert, AZ 85295-5177 | 2014-04-07 |
| 1578814489 | Jill Obermeier | Massage Therapist | 3941 E Baseline Rd Ste 101, Gilbert, AZ 85234-2750 | 2012-10-02 |
| 1801112297 | Kimberly Hadji | Massage Therapist | 2707 E Ficus Way, Gilbert, AZ 85298-3402 | 2010-04-11 |
| 1447887328 | Ashley Katrice Barreto | Massage Therapist | 3303 E Baseline Rd Ste 109, Gilbert, AZ 85234-2739 | 2020-03-23 |
| 1598234718 | Shelly Nentwig | Massage Therapist | 3303 S Lindsay Rd Ste 119a, Gilbert, AZ 85297-2100 | 2018-11-16 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on MRS. DAVONNA MARIE WILLIS.
| 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.