Healthcare Provider Details

I. General information

NPI: 1033703202
Provider Name (Legal Business Name): ELENA HOFF LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 BRENTWOOD DR UNIT F
MURRELLS INLET SC
29576-6443
US

IV. Provider business mailing address

119 BRENTWOOD DR UNIT F
MURRELLS INLET SC
29576-6443
US

V. Phone/Fax

Practice location:
  • Phone: 843-283-8411
  • Fax:
Mailing address:
  • Phone: 843-283-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10251
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: