Provider Demographics
NPI:1205519477
Name:SLAVEN, ANNA KATERINA (DPT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:KATERINA
Last Name:SLAVEN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:KATERINA
Other - Last Name:ZULOAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:14287 N 87TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3698
Mailing Address - Country:US
Mailing Address - Phone:480-937-1000
Mailing Address - Fax:
Practice Address - Street 1:41810 N VENTURE DR UNIT C120
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-3172
Practice Address - Country:US
Practice Address - Phone:623-212-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-33148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist