Provider Demographics
NPI:1124494091
Name:HOFMAN, ALAN ROSS (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:ROSS
Last Name:HOFMAN
Suffix:
Gender:M
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 1:5945 WARD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3901
Mailing Address - Country:US
Mailing Address - Phone:303-424-4589
Mailing Address - Fax:303-424-4632
Practice Address - Street 1:5945 WARD RD STE 110
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004
Practice Address - Country:US
Practice Address - Phone:303-424-4589
Practice Address - Fax:303-424-4632
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011997225100000X
CO16604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist