Provider Demographics
NPI:1154585248
Name:HOFF, ALISON E (DPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:E
Last Name:HOFF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:E
Other - Last Name:BARNETT
Other - Suffix:IV
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8015 HARWOOD AVE
Mailing Address - Street 2:APT #1
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-2558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2835 N GRANDVIEW BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-5546
Practice Address - Country:US
Practice Address - Phone:262-574-5185
Practice Address - Fax:262-574-5193
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11043-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1154585248Medicaid
WI000983207Medicare PIN
WI1154585248Medicaid