Healthcare Provider Details

I. General information

NPI: 1457590358
Provider Name (Legal Business Name): TERESA M HOFF PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA M TOSTENRUD PT

II. Dates (important events)

Enumeration Date: 02/17/2009
Last Update Date: 02/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 7TH ST
TOPEKA KS
66606-2489
US

IV. Provider business mailing address

PO BOX 1657
TOPEKA KS
66601-1657
US

V. Phone/Fax

Practice location:
  • Phone: 785-228-1700
  • Fax: 785-231-5996
Mailing address:
  • Phone: 785-295-8108
  • Fax: 785-231-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number1103524
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: