Healthcare Provider Details

I. General information

NPI: 1316778889
Provider Name (Legal Business Name): NATALIE HOFF DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 VALLEY VIEW DR
MOLINE IL
61265-6133
US

IV. Provider business mailing address

2300 53RD AVE STE 100
BETTENDORF IA
52722-7565
US

V. Phone/Fax

Practice location:
  • Phone: 309-797-0866
  • Fax: 563-581-1500
Mailing address:
  • Phone: 563-322-0971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.005153
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: