Provider Demographics
NPI:1518986207
Name:HOCH, JOHANNA (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:HOCH
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4144 STARRUSH PL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-9077
Mailing Address - Country:US
Mailing Address - Phone:859-323-7070
Mailing Address - Fax:
Practice Address - Street 1:900 SOUTH LIMESTONE STREET
Practice Address - Street 2:206A CHARLES T WETHINGTON
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-323-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT7392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer