Individual
BRE'LAYSHIA HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
415 N 31ST ST, TEMPLE, TX 76504-2426
(254) 724-9312
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000014468
TX
Other
Enumeration date
06/25/2015
Last updated
01/09/2017
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