Provider Demographics
NPI:1164246435
Name:HODGES, JOSHUA W (RRT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:W
Last Name:HODGES
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 NELSON AVE
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-4220
Mailing Address - Country:US
Mailing Address - Phone:423-335-4778
Mailing Address - Fax:
Practice Address - Street 1:209 NELSON AVE
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-4220
Practice Address - Country:US
Practice Address - Phone:423-335-4778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRT0000005810227900000X
VA0117008322227900000X
KY7576227900000X
IN30009549A227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered