Provider Demographics
NPI:1710876123
Name:HTOO HOFF, PAW THAY LAH
Entity type:Individual
Prefix:
First Name:PAW
Middle Name:THAY LAH
Last Name:HTOO HOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 S 123RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2731
Mailing Address - Country:US
Mailing Address - Phone:720-496-5548
Mailing Address - Fax:
Practice Address - Street 1:2104 S 123RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2731
Practice Address - Country:US
Practice Address - Phone:720-496-5548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide