Kenneth Domzalski

NPI 1861353393 · on the registry since 2025

Practice

Address: 100 Wheatfield Dr Ste 1
Milford, PA 18337
Phone: (570) 296-5911
Organisation at this address: Sweet Support & Nutrition , Llc
Drayer Physical Therapy Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania