1033607312 NPI number — ERIKA MICHELE HOFF LMT

Table of content: JULIA COOPER MD (NPI 1649700477)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033607312 NPI number — ERIKA MICHELE HOFF LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOFF
Provider First Name:
ERIKA
Provider Middle Name:
MICHELE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033607312
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9509 SIDDON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AVON
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46123-5668
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-697-6229
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3125 DANDY TRL STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46214-1473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-210-0457
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MT21806468 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MT21806468 . This is a "CERTIFIED MASSAGE THERAPIST" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: MT21806468 . This is a "LICENSED MASSAGE THERAPIST" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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