Provider Demographics
NPI:1124229794
Name:HOCHSTEDLER, DAVID P (PT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:HOCHSTEDLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BOW HILL TRL
Mailing Address - Street 2:
Mailing Address - City:ROYAL
Mailing Address - State:AR
Mailing Address - Zip Code:71968-9580
Mailing Address - Country:US
Mailing Address - Phone:501-991-3217
Mailing Address - Fax:
Practice Address - Street 1:741 SOUTH DR
Practice Address - Street 2:
Practice Address - City:MT. IDA
Practice Address - State:AR
Practice Address - Zip Code:71957
Practice Address - Country:US
Practice Address - Phone:870-867-2584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist