Individual
JENNIFER HOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1321 POPLAR ST, BENTON, KY 42025-1567
(270) 366-5598
Mailing address
853 VICKSBURG ESTATE RD, BENTON, KY 42025-8074
(270) 366-5598
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
267119
KY
225700000X
Massage Therapist
Primary
267119
KY
Other
Enumeration date
11/17/2021
Last updated
11/22/2021
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