Provider Demographics
NPI:1992206189
Name:OLOFSSON, JOSEPH CASEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CASEY
Last Name:OLOFSSON
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 STATE CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1646
Mailing Address - Country:US
Mailing Address - Phone:734-707-7285
Mailing Address - Fax:
Practice Address - Street 1:680 STATE CIR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1646
Practice Address - Country:US
Practice Address - Phone:734-707-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501017290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist