Provider Demographics
NPI:1710016597
Name:HODGES, CATHERINE A (PT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:HODGES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5806
Mailing Address - Country:US
Mailing Address - Phone:303-956-2600
Mailing Address - Fax:303-956-2600
Practice Address - Street 1:618 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4202
Practice Address - Country:US
Practice Address - Phone:303-777-5263
Practice Address - Fax:303-777-5268
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist