Healthcare Provider Details

I. General information

NPI: 1972980423
Provider Name (Legal Business Name): ROBERT HOFSCHULTE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 05/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 N 4TH ST
TOMAHAWK WI
54487-2142
US

IV. Provider business mailing address

586 SHEPARD ST
RHINELANDER WI
54501-3552
US

V. Phone/Fax

Practice location:
  • Phone: 715-453-6650
  • Fax: 715-453-6657
Mailing address:
  • Phone: 715-365-5252
  • Fax: 715-365-5258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: