Provider Demographics
NPI:1891816237
Name:KAMM, ANNETTE S (PT)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:S
Last Name:KAMM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:196 S FRENCH BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3917
Mailing Address - Country:US
Mailing Address - Phone:828-250-0287
Mailing Address - Fax:
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:5B DOCTORS PARK
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-255-4567
Practice Address - Fax:828-255-1910
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6543225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist