MEDICARE: CHRISTINE MARIE HOKE LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	028846	NY

General Provider Information

NPI Number	:	1114449535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE HOKE LMT

Provider Business Mailing Address
First Line	:	PO BOX 296
Second Line	:
City	:	CLAY
State	:	NY
Zip	:	13041-0296
Country	:	US
Telephone Number	:	315-760-8618
Fax Number	:

Provider Business Practice Location Address
First Line	:	4613 NORTH ST
Second Line	:
City	:	JAMESVILLE
State	:	NY
Zip	:	13078-9499
Country	:	US
Telephone Number	:	315-760-8618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2017
Last Update Date	:	07/07/2017

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