Provider Demographics
NPI:1356903793
Name:HOENIGMAN THERAPY AND WELLNESS, LLC
Entity type:Organization
Organization Name:HOENIGMAN THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOENIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:828-244-1365
Mailing Address - Street 1:359 E ENTERPRISE DR STE 21
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1443
Mailing Address - Country:US
Mailing Address - Phone:719-470-1722
Mailing Address - Fax:
Practice Address - Street 1:359 E ENTERPRISE DR STE 21
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81007-1443
Practice Address - Country:US
Practice Address - Phone:719-470-1722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-06
Last Update Date:2019-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty