Healthcare Provider Details

I. General information

NPI: 1275798514
Provider Name (Legal Business Name): TAMARA A HOFFMANN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 06/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 FARRA DR
LANCASTER KY
40444-8764
US

IV. Provider business mailing address

5027 ATWOOD DR SUITE 2
RICHMOND KY
40475-8322
US

V. Phone/Fax

Practice location:
  • Phone: 859-792-1228
  • Fax:
Mailing address:
  • Phone: 859-625-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5652
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: