MEDICARE: BETH ANN HOFER P.T.

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	11-02713	KS

General Provider Information

NPI Number	:	1831374206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH ANN HOFER P.T.

Provider Business Mailing Address
First Line	:	8437 STATE AVE STE B
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-1851
Country	:	US
Telephone Number	:	913-299-9616
Fax Number	:	913-299-9617

Provider Business Practice Location Address
First Line	:	8437 STATE AVE
Second Line	:	STE B
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-1842
Country	:	US
Telephone Number	:	913-299-9616
Fax Number	:	913-299-9617

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

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	01/31/2018

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Directions to “ BETH ANN HOFER P.T.” Practice Location

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