Healthcare Provider Details

I. General information

NPI: 1487962866
Provider Name (Legal Business Name): CHRISTOPHER WAYNE HOFFPAUIR DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2010
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 S BERNARD RD STE B
BROUSSARD LA
70518-5374
US

IV. Provider business mailing address

1137 S BERNARD RD STE B
BROUSSARD LA
70518-5374
US

V. Phone/Fax

Practice location:
  • Phone: 337-473-2969
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number07812
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: