Basic Information
| Provider Information | |||||||||
| NPI: | 1972980423 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOFSCHULTE | ||||||||
| FirstName: | ROBERT | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 586 SHEPARD ST | ||||||||
| Address2: | |||||||||
| City: | RHINELANDER | ||||||||
| State: | WI | ||||||||
| PostalCode: | 545013552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7153655252 | ||||||||
| FaxNumber: | 7153655258 | ||||||||
| Practice Location | |||||||||
| Address1: | 1509 N 4TH ST | ||||||||
| Address2: | |||||||||
| City: | TOMAHAWK | ||||||||
| State: | WI | ||||||||
| PostalCode: | 544872142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7154536650 | ||||||||
| FaxNumber: | 7154536657 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2015 | ||||||||
| LastUpdateDate: | 05/05/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.