Provider Demographics
NPI:1639318983
Name:HODSON, BENJAMIN E
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:E
Last Name:HODSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 SENECA ST
Mailing Address - Street 2:207
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2898
Mailing Address - Country:US
Mailing Address - Phone:206-724-5580
Mailing Address - Fax:
Practice Address - Street 1:1215 SENECA ST
Practice Address - Street 2:207
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2898
Practice Address - Country:US
Practice Address - Phone:206-724-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60062990225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist