Healthcare Provider Details

I. General information

NPI: 1235045287
Provider Name (Legal Business Name): RENEE DORKS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41591 COLADA CT
PALM DESERT CA
92260-0337
US

IV. Provider business mailing address

41591 COLADA CT
PALM DESERT CA
92260-0337
US

V. Phone/Fax

Practice location:
  • Phone: 775-527-0794
  • Fax:
Mailing address:
  • Phone: 775-527-0794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: