Jami Graham, DPT
Individual provider Active NPI Physical Therapist · Arena, WI
NPI 1154718138 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1154718138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12891-24 (WI)
- Practice address
- 8064 Peterson Rd
Arena, WI 53503-9524 - Phone
- (217) 622-4280
- NPI assigned
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12891-24 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12891-24 | WI | Yes |
Addresses
Primary practice location
8064 Peterson Rd
Arena, WI 53503-9524
Mailing address
8064 Peterson Rd
Arena, WI 53503-9524
Other providers in Arena, WI
- Arena Fire Board
- Andrew Michael Campbell
- Dorothy J Campbell
- Terry Kay Carney
- Dianes Adult Family Home
- Jacquelyn Sue Johnson-Kruse
- Pamela Ann Krueger
- Emily Suanne Ruyle
- Amanda Marie Scheel
- Suzette Michele Sharp
All providers in Arena, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.