Individual
MACKENZIE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 S SIBLEY AVE, LITCHFIELD, MN 55355-3340
(320) 693-4561
Mailing address
612 S SIBLEY AVE, LITCHFIELD, MN 55355-3340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105491
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105491
MINNESOTA DHS
MN
Enumeration date
05/17/2018
Last updated
05/17/2018
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