Provider Demographics
NPI:1306186580
Name:WOLFF, JOSEPH (LMT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:WOLFF
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 E SOUTHERN AVE
Mailing Address - Street 2:SUITE 9-400
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5782
Mailing Address - Country:US
Mailing Address - Phone:602-695-0809
Mailing Address - Fax:480-897-1758
Practice Address - Street 1:1640 E THOMAS RD
Practice Address - Street 2:SUITE B
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7602
Practice Address - Country:US
Practice Address - Phone:602-695-0809
Practice Address - Fax:480-897-1758
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-07288225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist