Provider Demographics
NPI:1043721962
Name:HOTT, ARISTA GRACE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ARISTA
Middle Name:GRACE
Last Name:HOTT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 RICHMOND PL UNIT B
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0002
Mailing Address - Country:US
Mailing Address - Phone:903-204-7662
Mailing Address - Fax:
Practice Address - Street 1:4107 RICHMOND PL UNIT B
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0002
Practice Address - Country:US
Practice Address - Phone:903-204-7662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1391176225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist