Provider Demographics
NPI:1932102464
Name:KAME, JOANN OLSHEFSKI (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:OLSHEFSKI
Last Name:KAME
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 E LINCOLN DR
Mailing Address - Street 2:STE A101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4433
Mailing Address - Country:US
Mailing Address - Phone:480-609-0822
Mailing Address - Fax:480-609-0828
Practice Address - Street 1:7100 E LINCOLN DR
Practice Address - Street 2:STE A101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-4433
Practice Address - Country:US
Practice Address - Phone:480-609-0822
Practice Address - Fax:480-609-0828
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ24884Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
AZZ24883Medicare ID - Type UnspecifiedGROUP NUMBER