Provider Demographics
NPI:1467051995
Name:HOHMAN, EMILY K (DPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:HOHMAN
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 1:914 CHARLEVOIX DR STE 150
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-2294
Mailing Address - Country:US
Mailing Address - Phone:517-617-9292
Mailing Address - Fax:
Practice Address - Street 1:914 CHARLEVOIX DR STE 150
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-2294
Practice Address - Country:US
Practice Address - Phone:517-627-9292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225100000X
MI5501019796225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist