Provider Demographics
NPI:1437210200
Name:OLKOSKI, JEFFREY S (PT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:S
Last Name:OLKOSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140
Mailing Address - Street 2:
Mailing Address - City:CHRISTOPHER
Mailing Address - State:IL
Mailing Address - Zip Code:62822-0140
Mailing Address - Country:US
Mailing Address - Phone:618-724-7456
Mailing Address - Fax:618-724-7492
Practice Address - Street 1:4343 STATE HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:CHRISTOPHER
Practice Address - State:IL
Practice Address - Zip Code:62822
Practice Address - Country:US
Practice Address - Phone:618-724-7456
Practice Address - Fax:618-724-7492
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
693327OtherHEALTHLINK
03923662OtherBLUE CROSS BLUE SHIELD
693327OtherHEALTHLINK