Healthcare Provider Details

I. General information

NPI: 1346864667
Provider Name (Legal Business Name): CARTER ALAN HOFFMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FOREST ST
WAUSAU WI
54403-5514
US

IV. Provider business mailing address

5232 CROCUS CT
STEVENS POINT WI
54481-5601
US

V. Phone/Fax

Practice location:
  • Phone: 715-301-0197
  • Fax: 715-227-4858
Mailing address:
  • Phone: 608-574-4293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: