Provider Demographics
NPI:1770803025
Name:MCDONAUGH, DAWN EMILY (LMT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:EMILY
Last Name:MCDONAUGH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 S NOME ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1242
Mailing Address - Country:US
Mailing Address - Phone:720-495-8908
Mailing Address - Fax:
Practice Address - Street 1:128 S NOME ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1242
Practice Address - Country:US
Practice Address - Phone:720-495-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-4455225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist