Provider Demographics
NPI:1134607138
Name:HESTER, KARLEE A (DPT)
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:A
Last Name:HESTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARLEE
Other - Middle Name:A
Other - Last Name:MATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9820 N CENTRAL AVE UNIT 229
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-1061
Mailing Address - Country:US
Mailing Address - Phone:602-745-2930
Mailing Address - Fax:
Practice Address - Street 1:3090 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4402
Practice Address - Country:US
Practice Address - Phone:027-452-9306
Practice Address - Fax:602-745-2958
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT4508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ122074Medicaid