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NPI Code Detail

MEDICARE: MISS BRIANNA LYNN HOFFARTH PT

MEDICARE: MISS BRIANNA LYNN HOFFARTH PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8298MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11219767OTHERMNARAZ
264-09776OTHERMNSELECT CARE
39823046OTHERMNMEDICA
4264M1NOOTHERMNBLUE CROSS BLUE SHIELD OF MN
531T18INOTHERMNCCS
664-09776OTHERMNMEDICA
7169318P539OTHERMNUCARE
831T18INOTHERMNBCBS

General Provider Information

NPI Number : 1073749255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRIANNA LYNN HOFFARTH PT
Provider Business Mailing Address
First Line : P.O. BOX 296
Second Line :
City : SARTELL
State : MN
Zip : 56377-1977
Country : US
Telephone Number : 320-251-2600
Fax Number : 320-251-4763
Provider Business Practice Location Address
First Line : 100 SOUTH 2ND STREET
Second Line :
City : SARTELL
State : MN
Zip : 56377-1977
Country : US
Telephone Number : 320-251-2600
Fax Number : 320-251-4763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2009
Last Update Date : 08/27/2013

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1235136995 — MR. RYAN JAMES GRANROTH DC
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1639275605 — MR. DEAN ALAN STULZ PA
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1457452666 — DR. MATTHEW G. ROSSITER D.C.
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