Provider Demographics
NPI:1619161197
Name:VANHOFF, STEPHANIE NEESVIG (DPT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:NEESVIG
Last Name:VANHOFF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:NEESVIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:81-964 HALEKII ST BLDG 4C
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-8193
Mailing Address - Country:US
Mailing Address - Phone:808-339-7788
Mailing Address - Fax:808-339-7736
Practice Address - Street 1:81-964 HALEKII ST BLDG 4C
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-8193
Practice Address - Country:US
Practice Address - Phone:808-339-7788
Practice Address - Fax:808-339-7736
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI37912251N0400X, 225100000X
WAPT00010692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology