Provider Demographics
NPI:1184972556
Name:MEIHOFER, LAURA ELIZABETH (PT, ATC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:MEIHOFER
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:1961 TIFFANY COVE LN SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-1125
Mailing Address - Country:US
Mailing Address - Phone:507-722-1823
Mailing Address - Fax:
Practice Address - Street 1:1961 TIFFANY COVE LN SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-1125
Practice Address - Country:US
Practice Address - Phone:507-722-1823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNENROLLEDMedicaid
IAENROLLEDMedicaid
MNENROLLEDMedicaid