Provider Demographics
NPI:1386422525
Name:ZENISEK, DEBORAH KAY
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:KAY
Last Name:ZENISEK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:KAY
Other - Last Name:ASHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 CRYSTAL LAKE RD E
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5060
Mailing Address - Country:US
Mailing Address - Phone:952-210-4921
Mailing Address - Fax:952-890-5950
Practice Address - Street 1:2424 E 117TH ST
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1269
Practice Address - Country:US
Practice Address - Phone:952-210-4921
Practice Address - Fax:952-890-5950
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist