MS. TARA ANN HODGE MED, ATC
NPI 1881006179
Specialist in San Rafael, CA
- Individual
- Female
- Specialist
About TARA HODGE
This page provides the complete NPI Profile along with additional information for Tara Hodge, a provider established in San Rafael, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1881006179 assigned on May 2014. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1881006179 Verify this NPI
- Provider Name
- MS. TARA ANN HODGE MED, ATC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1475 GRAND AVE. SAN RAFAEL, CA 94901
- Location Phone
- (415) 482-1807
- Location Fax
- (415) 482-1852
- Mailing Address
- 50 ACACIA AVE SAN RAFAEL, CA 94901
- Mailing Phone
- (415) 482-1807
- Mailing Fax
- (415) 482-1852
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-21-2014
- Last Update Date
- 05-21-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881006179, enumerated as an "individual" on May 21, 2014.
The provider is located at 1475 GRAND AVE. SAN RAFAEL, CA 94901 and the phone number is (415) 482-1807.
Specialist with taxonomy code 174400000X.
