DAWN MARIE PETROVICK (NPI# 1831701150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831701150 |
Entity Type | Individual |
Full Name | DAWN MARIE PETROVICK |
Other Name | DAWN MARIE TRZEBIATOWSKI |
Practice Address |
16985 W Bluemound Rd Brookfield WI 53005-5909 |
Mailing Address |
2188 S 98th St West Allis WI 53227-1441 |
Practice Telephone | 2626418400 |
Mailing Telephone | 4143397741 |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
16985 W BLUEMOUND RD |
City | BROOKFIELD |
State | WI |
Zip Code | 53005-5909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649233255 | Niel A Johnson | Emergency Medicine | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2006-04-07 |
1760018246 | Richard Harold Labott | Pharmacist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2020-03-17 |
1780242321 | Patti Lynn Hahn | Physical Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2019-05-30 |
1710468251 | Mary Drosen | Physical Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2018-08-23 |
1770029290 | Daryl Schmidt | Physical Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2017-01-08 |
1093170144 | Robert W Reinke | Specialist/Technologist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2015-12-16 |
1518353283 | Diana Vu | Pediatrics | 16985 W Bluemound Rd, Brookfield, WI 53005 | 2015-04-09 |
1962896316 | Trent J Meltzer | Pediatrics | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2015-03-24 |
1790177681 | Jessica Ferge | Physician Assistant | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2015-03-02 |
1659783314 | Jody Ann Erickson | Nurse Practitioner | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2014-05-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
Find all providers in zip 53005 |
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 |
---|---|---|---|---|
1851929319 | Nicole Pecchio Lott | Massage Therapist | 300 Federal Rd Ste 210, Brookfield, CT 06804-2412 | 2020-03-31 |
1871134759 | Melanie Heckert | Massage Therapist | 17345 W Capitol Dr Ste 103, Brookfield, WI 53045-2005 | 2019-10-02 |
1235688813 | Kimberly Lowery | Massage Therapist | 1306 State Route 7 Ne, Brookfield, OH 44403-9785 | 2016-09-23 |
1619327681 | Shannon Lebal | Massage Therapist | 14665 W Lisbon Rd Ste 1b, Brookfield, WI 53005-1687 | 2016-06-20 |
1417329012 | Katherine Schliepp | Massage Therapist | 2848 N Brookfield Rd Apt 205, Brookfield, WI 53045-3331 | 2015-10-22 |
1871939140 | Randa Beth Hodgson | Massage Therapist | 18305 W Lisbon Rd, Brookfield, WI 53045-1003 | 2013-05-14 |
1477189272 | Tammy R Wentlandt | Massage Therapist | 13825 W Burleigh Rd, Brookfield, WI 53005-3058 | 2020-03-13 |
1033688775 | Bekim Selmani | Massage Therapist | 246 Federal Rd, Brookfield, CT 06804-2647 | 2018-11-23 |
1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
1447606017 | Gregory Steven Nardine | Massage Therapist | 366 Federal Rd, Brookfield, CT 06804-2406 | 2016-05-12 |
Find all providers in BROOKFIELD |
City | BROOKFIELD |
Zip Code | 53005 |
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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.