Individual
WILL HODGES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1506 N LELAND AVE, INDIANAPOLIS, IN 46219-2958
(317) 554-9778
Mailing address
15606 N. LELAND AVE, INDIANAPOLIS, IN 46219-2958
(317) 554-9778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902200
IN
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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