Provider Demographics
NPI:1295581775
Name:HOCHWALT, CASSIDY LEIGH (PT)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:LEIGH
Last Name:HOCHWALT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14450 N THOMPSON PEAK PKWY UNIT 133
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7771
Mailing Address - Country:US
Mailing Address - Phone:480-650-4161
Mailing Address - Fax:
Practice Address - Street 1:17490 N 93RD ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6323
Practice Address - Country:US
Practice Address - Phone:480-650-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT30137225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist