MEDICARE: CRYSTAL HOGGATT MPT

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
1	225100000X	Physical Therapist	2005026646	MO

General Provider Information

NPI Number	:	1699562538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL HOGGATT MPT

Provider Business Mailing Address
First Line	:	13780 NW ROBINHOOD LN
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64164-1201
Country	:	US
Telephone Number	:	165-506-0328
Fax Number	:

Provider Business Practice Location Address
First Line	:	13780 NW ROBINHOOD LN
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64164-1201
Country	:	US
Telephone Number	:	816-550-6032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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Directions to “ CRYSTAL HOGGATT MPT” Practice Location

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