Trudi L. Hoffman, PT,CLT-LANA

Individual provider Active NPI Physical Therapist · Raton, NM

NPI 1609460500 · NPPES record last updated Feb 22, 2023

Key facts

NPI
1609460500
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT22063 (NM)
Practice address
15 S Pond LN
Raton, NM 87740-3061
Phone
(970) 361-6150
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPT-010568AZMDPhysical Therapist
PT22063NMMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-010568 AZ
Physical Therapist 225100000X PT22063 NM Yes

Addresses

Primary practice location

15 S Pond LN
Raton, NM 87740-3061

Mailing address

15 S Pond LN
Raton, NM 87740-3061
Phone (970) 361-6150

Other providers in Raton, NM

All providers in Raton, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.