Individual
BLAKE RYAN HOCKADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
1201 S CLEARVIEW PKWY BLDG B, JEFFERSON, LA 70121-1015
(504) 736-4800
Mailing address
1717 S DUPRE ST, NEW ORLEANS, LA 70125-2922
(870) 557-2093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
323215
LA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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