Individual
KYLE ROBERT HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
15 FRANKLIN ST STE 120B, VALPARAISO, IN 46383-4877
(219) 351-0808
Mailing address
1326 S HOLMESVILLE RD, LA PORTE, IN 46350-9647
(219) 252-1029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003277A
IN
Other
Enumeration date
01/26/2022
Last updated
07/02/2022
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