Healthcare Provider Details

I. General information

NPI: 1073014098
Provider Name (Legal Business Name): KAITLYN HOFER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2018
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4435 RONALD REAGAN BLVD
LOVELAND CO
80534-6566
US

IV. Provider business mailing address

4435 RONALD REAGAN BLVD
LOVELAND CO
80534-6566
US

V. Phone/Fax

Practice location:
  • Phone: 970-699-7303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: