Healthcare Provider Details

I. General information

NPI: 1174469860
Provider Name (Legal Business Name): DOMINIQUE JOANNE NICCOLI MESSCHAERT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 W WALNUT AVE
VISALIA CA
93277-6233
US

IV. Provider business mailing address

1701 W MEADOW AVE
VISALIA CA
93277-2243
US

V. Phone/Fax

Practice location:
  • Phone: 559-284-2195
  • Fax:
Mailing address:
  • Phone: 559-284-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT20163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: