Individual
KELLY HODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
637 DUNN RD STE 140, HAZELWOOD, MO 63042-1755
(314) 731-4555
Mailing address
637 DUNN RD STE 140, HAZELWOOD, MO 63042-1755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP003523T
—
225100000X
Physical Therapist
Primary
PTL.0017218
CO
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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