Healthcare Provider Details

I. General information

NPI: 1205743861
Provider Name (Legal Business Name): JOHN HOFFMAN BS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 N 2ND ST STE 401
PHOENIX AZ
85012-2371
US

IV. Provider business mailing address

3330 N 2ND ST STE 401
PHOENIX AZ
85012-2371
US

V. Phone/Fax

Practice location:
  • Phone: 602-606-8949
  • Fax:
Mailing address:
  • Phone: 602-606-8949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: