Provider Demographics
NPI:1699562538
Name:HOGGATT, CRYSTAL (MPT)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:HOGGATT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13780 NW ROBINHOOD LN
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64164-1201
Mailing Address - Country:US
Mailing Address - Phone:165-506-0328
Mailing Address - Fax:
Practice Address - Street 1:13780 NW ROBINHOOD LN
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64164-1201
Practice Address - Country:US
Practice Address - Phone:816-550-6032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005026646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist