Healthcare Provider Details

I. General information

NPI: 1528963568
Provider Name (Legal Business Name): DONELLA DOWDLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2047 W WOLFENSBERGER RD
CASTLE ROCK CO
80109-9651
US

IV. Provider business mailing address

3665 S HAZEL CT
SHERIDAN CO
80110-3219
US

V. Phone/Fax

Practice location:
  • Phone: 303-505-9313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0005205
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: