BRENNEN KYLE HODGE


Address: 751 N. Mcclintock Dr., Phoenix Rising Stadium: Attn Brennen Hodge, Scottsdale, AZ 85257-8525
Phone: 4806222969

BRENNEN KYLE HODGE (NPI# 1568024156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568024156
Entity Type Individual
Full Name BRENNEN KYLE HODGE
Practice Address 751 N. Mcclintock Dr.
Phoenix Rising Stadium: Attn Brennen Hodge
Scottsdale
AZ 85257-8525
Mailing Address 751 North Mcclintock Drive
Scottsdale
AZ 85257
Practice Telephone 4806222969
Enumeration Date 2019-07-03
Last Update Date 2019-07-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
1339 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 751 N. MCCLINTOCK DR.
PHOENIX RISING STADIUM: ATTN BRENNEN HODGE
City SCOTTSDALE
State AZ
Zip Code 85257-8525

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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558992636 Agnieszka Szoltysek Specialist/Technologist 13516 N 92nd Way, Scottsdale, AZ 85260-4324 2020-01-28
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1548743784 Ranae Nitura Specialist/Technologist 7950 E Redfield Rd Ste 160, Scottsdale, AZ 85260-6935 2018-09-13
1114429636 Ryne Eubanks Specialist/Technologist 7555 N Pima Rd, Scottsdale, AZ 85258-4013 2018-02-28
1023531373 Jessica Bridgeman Specialist/Technologist 9219 E Hidden Spur Trl, Scottsdale, AZ 85255-6326 2017-07-19
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1083159602 Marie-elizabeth Finamore Specialist/Technologist 6713 E Vernon Ave, Scottsdale, AZ 85257-2043 2017-01-05
1770031403 Kelsi Klotter Specialist/Technologist 2219 N 73rd Pl, Scottsdale, AZ 85257-1446 2016-09-12
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City SCOTTSDALE
Zip Code 85257

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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