Provider Demographics
NPI:1033460225
Name:HOFFMAN, RACHEL TROY (LMT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:TROY
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31653 POMPEI LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8695
Mailing Address - Country:US
Mailing Address - Phone:845-633-4926
Mailing Address - Fax:951-599-0228
Practice Address - Street 1:31653 POMPEI LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8695
Practice Address - Country:US
Practice Address - Phone:951-599-0228
Practice Address - Fax:951-599-0228
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32335225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist