Provider Demographics
NPI:1184190902
Name:HOIME, KATERINA M (DPT)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:M
Last Name:HOIME
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13113 58TH ST NE
Mailing Address - Street 2:
Mailing Address - City:FORDVILLE
Mailing Address - State:ND
Mailing Address - Zip Code:58231-9276
Mailing Address - Country:US
Mailing Address - Phone:701-304-0028
Mailing Address - Fax:
Practice Address - Street 1:6 E 12TH ST
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237-2212
Practice Address - Country:US
Practice Address - Phone:701-379-0125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist