Provider Demographics
NPI:1558580670
Name:HOFFNER, AMY (LAT, ATC, RCEP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:HOFFNER
Suffix:
Gender:F
Credentials:LAT, ATC, RCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3090 GRACE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-8615
Mailing Address - Country:US
Mailing Address - Phone:704-857-3546
Mailing Address - Fax:
Practice Address - Street 1:400 E MOREHEAD ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2610
Practice Address - Country:US
Practice Address - Phone:704-716-6160
Practice Address - Fax:704-716-6091
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer