Provider Demographics
NPI:1871526731
Name:HOFFMANN, CHRISTOPHER LUKE (MSPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LUKE
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 KATE BOND RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4004
Mailing Address - Country:US
Mailing Address - Phone:901-937-3200
Mailing Address - Fax:901-383-1738
Practice Address - Street 1:3045 KATE BOND RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133
Practice Address - Country:US
Practice Address - Phone:901-937-3200
Practice Address - Fax:901-383-1738
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT70212251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4096444OtherBLUECROSSBLUESHIELD OF TN
TN3726011Medicaid
TN3659315Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL
TN3726011Medicaid
TN36593153Medicare PIN
TN3726011Medicare ID - Type UnspecifiedGROUP SPINE SPECIALTY CNT