Provider Demographics
NPI:1932198074
Name:KANEFSKY, JOSEPH (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPH
Middle Name:
Last Name:KANEFSKY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 FALLS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1726
Mailing Address - Country:US
Mailing Address - Phone:954-804-2825
Mailing Address - Fax:
Practice Address - Street 1:1165 FALLS BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1726
Practice Address - Country:US
Practice Address - Phone:954-804-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer