NPI 1013559657

Lauren Hodge, ATC

Practitioner Athletic Trainer Ellington, CT

Practice location

Address: 12 Main St STE 7, Ellington, CT 06029-3361
Phone: (860) 872-7500
Mailing address: 178 New State Rd APT 7, Manchester, CT 06042-7941

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001243 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1013559657
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2019
Record last updated: 8 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.