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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN NICHOLAS HODGE III, PTA

Active Sole Proprietor

MR. JOHN NICHOLAS HODGE III, PTA is a Physical Medicine & Rehabilitation healthcare provider located in SHREVEPORT, Louisiana. NPI 1811414642 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · SHREVEPORT, LA

Registration Details

NPI Number
1811414642
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2017 (8.8329377810118 yrs)
Last Updated
Aug 23, 2017
License
2106291 (TX)
Sole Proprietor
Yes

Practice Information

Address
121 CARROLL ST
SHREVEPORT, LA, 71105
Browse LA providers · Browse ZIP 71105
Phone
3185604326
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in SHREVEPORT, LA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.