Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PT0000009032 | TN |
NPI | 1194259366 |
---|---|
Provider Name | Ashley Hodges |
First Address | Nashville, TN 37203-6877 |
Second Address | Nashville, TN 37203-6877 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2017 |
Last Update Date | 14/04/2017 |