Healthcare Provider Details

I. General information

NPI: 1366571853
Provider Name (Legal Business Name): MARGARET M HOFFMAN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE KY
40222-5185
US

IV. Provider business mailing address

303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE KY
40222-5185
US

V. Phone/Fax

Practice location:
  • Phone: 502-412-5847
  • Fax: 502-213-1851
Mailing address:
  • Phone: 502-412-5847
  • Fax: 502-213-1851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number02990
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: