Provider Demographics
NPI:1942453642
Name:HODGES, CHRISTINA DIANNE (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DIANNE
Last Name:HODGES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 E GRANARY CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-7044
Mailing Address - Country:US
Mailing Address - Phone:509-954-0789
Mailing Address - Fax:
Practice Address - Street 1:2606 E SNEAD AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-9587
Practice Address - Country:US
Practice Address - Phone:509-209-7429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics