Provider Demographics
NPI:1760909584
Name:DREIKOSEN-RAYNES, DAWN MARIE (RRT, SDS)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:DREIKOSEN-RAYNES
Suffix:
Gender:F
Credentials:RRT, SDS
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:RAYNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT
Mailing Address - Street 1:13411 SHELBRITT RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1760
Mailing Address - Country:US
Mailing Address - Phone:210-781-1968
Mailing Address - Fax:
Practice Address - Street 1:13411 SHELBRITT RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1760
Practice Address - Country:US
Practice Address - Phone:210-781-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572092279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics