Healthcare Provider Details

I. General information

NPI: 1275135139
Provider Name (Legal Business Name): ABBIE RENEE HOFFMAN CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2020
Last Update Date: 11/14/2020
Certification Date: 11/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8830 SWALLOW WAY
FAIR OAKS CA
95628-6457
US

IV. Provider business mailing address

8830 SWALLOW WAY
FAIR OAKS CA
95628-6457
US

V. Phone/Fax

Practice location:
  • Phone: 916-256-8129
  • Fax:
Mailing address:
  • Phone: 916-256-8129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: