Healthcare Provider Details

I. General information

NPI: 1871526731
Provider Name (Legal Business Name): CHRISTOPHER LUKE HOFFMANN MSPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 12/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 KATE BOND RD
MEMPHIS TN
38133
US

IV. Provider business mailing address

3045 KATE BOND RD
MEMPHIS TN
38133-4004
US

V. Phone/Fax

Practice location:
  • Phone: 901-937-3200
  • Fax: 901-383-1738
Mailing address:
  • Phone: 901-937-3200
  • Fax: 901-383-1738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT7021
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: