Provider Demographics
NPI:1871234252
Name:DENOWSKI, ISABELLE ROSE (MAT, ATC, CES)
Entity type:Individual
Prefix:MS
First Name:ISABELLE
Middle Name:ROSE
Last Name:DENOWSKI
Suffix:
Gender:F
Credentials:MAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 W 2200 S APT G108
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-6618
Mailing Address - Country:US
Mailing Address - Phone:715-937-5155
Mailing Address - Fax:
Practice Address - Street 1:945 W 2200 S APT G108
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-6618
Practice Address - Country:US
Practice Address - Phone:715-937-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program