Individual
MR. JASON PAUL HODDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC/L
Contact information
Practice address
1425 INNOVATION PLACE, WEST LAFAYETTE, IN 47906
(765) 497-3355
Mailing address
912 LINDBERG RD, WEST LAFAYETTE, IN 47906-2012
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
36000176A
IN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
36000176A
IN
Other
Enumeration date
08/23/2006
Last updated
09/11/2025
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