Kristy Jean Hofer, PT

Individual provider Active NPI Physical Therapist · Bridgewater, SD

NPI 1235322173 · NPPES record last updated Aug 23, 2007

Key facts

NPI
1235322173
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1278 (SD)
Practice address
901 N. Main Ave.
Bridgewater, SD 57319-0300
Phone
(605) 729-2525
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
McCook Therapy Past
since Jan 20, 2011
Accepting new patients
McCook Therapy & Wellness, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1278 SD Yes

Addresses

Primary practice location

901 N. Main Ave.
Bridgewater, SD 57319-0300

Mailing address

PO Box 300
Bridgewater, SD 57319-0300
Phone (605) 729-2525

Other providers in Bridgewater, SD

All providers in Bridgewater, SD · Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.