Provider Demographics
NPI:1730346420
Name:SOFT TISSUE & MYOFASCIAL TREATMENT INC.
Entity type:Organization
Organization Name:SOFT TISSUE & MYOFASCIAL TREATMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:209-492-0355
Mailing Address - Street 1:1317 OAKDALE RD STE 610
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3365
Mailing Address - Country:US
Mailing Address - Phone:209-492-0355
Mailing Address - Fax:209-521-0955
Practice Address - Street 1:1317 OAKDALE RD STE 610
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3365
Practice Address - Country:US
Practice Address - Phone:209-492-0355
Practice Address - Fax:209-521-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy