Provider Demographics
NPI:1922286624
Name:OGDEN, JOSHUA WAYNE (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:WAYNE
Last Name:OGDEN
Suffix:
Gender:M
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 1:900 COLLEGE ST
Mailing Address - Street 2:UMHB BOX 8010
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-2578
Mailing Address - Country:US
Mailing Address - Phone:254-295-4945
Mailing Address - Fax:
Practice Address - Street 1:900 COLLEGE ST
Practice Address - Street 2:UMHB BOX 8010
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-2578
Practice Address - Country:US
Practice Address - Phone:254-295-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT38522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer