Provider Demographics
NPI:1033607312
Name:HOFF, ERIKA MICHELE (LMT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MICHELE
Last Name:HOFF
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 1:9509 SIDDON DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-5668
Mailing Address - Country:US
Mailing Address - Phone:317-697-6229
Mailing Address - Fax:
Practice Address - Street 1:3125 DANDY TRL STE 120
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-1473
Practice Address - Country:US
Practice Address - Phone:317-210-0457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-23
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT21806468225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INMT21806468OtherCERTIFIED MASSAGE THERAPIST
INMT21806468OtherLICENSED MASSAGE THERAPIST