Provider Demographics
NPI:1093994667
Name:HOEFT, KATHLEEN (MPT AT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:HOEFT
Suffix:
Gender:F
Credentials:MPT AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 GORDON DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-7727
Mailing Address - Country:US
Mailing Address - Phone:239-262-2581
Mailing Address - Fax:239-262-5468
Practice Address - Street 1:2755 GORDON DR
Practice Address - Street 2:SUITE 101
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-7727
Practice Address - Country:US
Practice Address - Phone:239-262-2581
Practice Address - Fax:239-262-5468
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist