Donna M. Panzl, L.M.T.
Individual provider Active NPI Mechanotherapist · Broadalbin, NY
NPI 1629239090 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1629239090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- 016026 (NY)
- Practice address
- 1076 County Highway 110
Broadalbin, NY 12025-2905 - Phone
- (518) 883-8964
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016026 | NY | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 016026 | NY | Yes |
Addresses
Primary practice location
1076 County Highway 110
Broadalbin, NY 12025-2905
Mailing address
1076 County Highway 110
Broadalbin, NY 12025-2905
Other providers in Broadalbin, NY
- Mayer and Cope Family Practice LLP
- William D Mayer
- Susan Q McDonald
- Kristen Eve Miller
- Lori Nellis
- Jessica Lynn Sargalis
- Arissa Marilyn Spitalny
- Robert S Szymczak
- Thomas Venditti
- Kathleen Verbicky
All providers in Broadalbin, NY · Mechanotherapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.