Provider Demographics
NPI:1497342265
Name:HOFLUND, SYDNEY LYNNE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:LYNNE
Last Name:HOFLUND
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:SYDNEY
Other - Middle Name:LYNNE
Other - Last Name:HOFLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:902 E 3RD STREET
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4023
Mailing Address - Country:US
Mailing Address - Phone:307-620-5058
Mailing Address - Fax:
Practice Address - Street 1:902 E 3RD ST
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716
Practice Address - Country:US
Practice Address - Phone:307-756-9200
Practice Address - Fax:307-756-9203
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-2037225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist