NPI 1033696257

Jesse Austen Hodas, LATATC

Practitioner Athletic Trainer Charlotte, NC

Practice location

Address: 11058 Cedar Walk Ln Unit B, Charlotte, NC 28277-4333
Phone: (704) 277-9099

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence LAT-3918 (NC)

Other Specialist/Technologist providers in North Carolina →

Registry record

NPI: 1033696257
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2018
Record last updated: 20 Jul 2018

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.