Healthcare Provider Details

I. General information

NPI: 1386634251
Provider Name (Legal Business Name): DONNA S HOFFMANN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 SOUTH LOOP RD
EDGEWOOD KY
41017
US

IV. Provider business mailing address

PO BOX 6031
CINCINNATI OH
45270-6031
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-5600
  • Fax: 859-301-5669
Mailing address:
  • Phone: 513-557-4270
  • Fax: 513-557-3214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number002112
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: