Provider Demographics
NPI:1346280997
Name:EEKHOFF, TODD L (MPT)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:L
Last Name:EEKHOFF
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-7102
Mailing Address - Country:US
Mailing Address - Phone:775-825-6450
Mailing Address - Fax:775-825-6450
Practice Address - Street 1:1351 CORPORATE BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-7102
Practice Address - Country:US
Practice Address - Phone:775-825-6450
Practice Address - Fax:775-825-6826
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV500225100000X
NV0500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP07167Medicare UPIN