Provider Demographics
NPI:1467256362
Name:HOFFSTETTER, JESSICA CAITLIN (MED, ATR-P)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:CAITLIN
Last Name:HOFFSTETTER
Suffix:
Gender:
Credentials:MED, ATR-P
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Other - First Name:
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Mailing Address - Street 1:233 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4977
Mailing Address - Country:US
Mailing Address - Phone:866-491-5196
Mailing Address - Fax:
Practice Address - Street 1:811 HANBURY WAY APT 2-109
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6216
Practice Address - Country:US
Practice Address - Phone:912-660-5176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC24-993221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist