Healthcare Provider Details

I. General information

NPI: 1669955092
Provider Name (Legal Business Name): CATHRYN HOFFMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30330 HICKEY RD
CHESTERFIELD MI
48051-3911
US

IV. Provider business mailing address

24641 N MEADOW DR
HARRISON TOWNSHIP MI
48045-3130
US

V. Phone/Fax

Practice location:
  • Phone: 586-421-4062
  • Fax: 586-421-4072
Mailing address:
  • Phone: 586-569-1102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501018818
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: