Healthcare Provider Details

I. General information

NPI: 1144413519
Provider Name (Legal Business Name): CYNTHIA CHRISTINE HOFFMAN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S 37TH ST
TACOMA WA
98418-7899
US

IV. Provider business mailing address

212 S 37TH ST
TACOMA WA
98418-7899
US

V. Phone/Fax

Practice location:
  • Phone: 253-475-1910
  • Fax: 253-475-8279
Mailing address:
  • Phone: 253-475-1910
  • Fax: 253-475-8279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: