Individual
KEVIN NEIL HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1342 S PIONEER WAY, MOSES LAKE, WA 98837-2410
(509) 765-9608
(509) 766-0481
Mailing address
7201 W CLEARWATER AVE STE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
(509) 987-1614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61184810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT61184810
WA PT LICENSE
WA
Enumeration date
11/22/2021
Last updated
11/22/2021
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