Provider Demographics
NPI:1265956627
Name:HOFFMAN, EMMA LEA (LAT, ATC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:LEA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 ARGONNE CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2784
Mailing Address - Country:US
Mailing Address - Phone:913-515-6538
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF INTERCOLLEGIATE ATHLETICS
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-0399
Practice Address - Country:US
Practice Address - Phone:913-515-6538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260026352255A2300X
TXAT74762255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer