Provider Demographics
NPI:1740534114
Name:LOW HOFFMAN, KATHY (OTR/L)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:LOW HOFFMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:LOW
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1300 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3576
Mailing Address - Country:US
Mailing Address - Phone:509-925-8122
Mailing Address - Fax:509-925-8036
Practice Address - Street 1:1300 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3576
Practice Address - Country:US
Practice Address - Phone:509-925-8122
Practice Address - Fax:509-925-8036
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00001258225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist