Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamae Kmak, MSOTR/L

Individual provider Early Intervention Provider Agency · NPI 1558763532

Jamae Kmak, MSOTR/L is an Early Intervention Provider Agency in Peoria, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

17300 N 88th Ave
Peoria, AZ 85382-3501
Phone: (602) 290-4880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 — (602) 595-0074

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 5945 (AZ)

Record details

NPI number1558763532
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedSeptember 21, 2014
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024