Healthcare Provider Details

I. General information

NPI: 1215312533
Provider Name (Legal Business Name): RASHELLE HOFFMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 HILLCREST DR
BELLEVUE NE
68005-3652
US

IV. Provider business mailing address

4310 N 163RD ST
OMAHA NE
68116-2973
US

V. Phone/Fax

Practice location:
  • Phone: 402-291-8500
  • Fax:
Mailing address:
  • Phone: 308-991-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3481
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0013349
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: