IndividualActive
Mark Domke, RKT
NPI 1396967600 · Kinesiotherapist · Vallejo, CA
Provider details
- NPI number
- 1396967600
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RKT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
765 Sereno Dr
Vallejo, CA 94589-2415
Phone: (707) 208-2081
Approximate (ZIP-level) locationGet directions
Mailing address
18 Stonecreek Dr
American Canyon, CA 94503-3131
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.