Provider Demographics
NPI:1174717169
Name:HODDER, AMANDA (CMT)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:HODDER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HODDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMT
Mailing Address - Street 1:10385 W WARREN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2046
Mailing Address - Country:US
Mailing Address - Phone:303-437-2510
Mailing Address - Fax:
Practice Address - Street 1:10385 W WARREN DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-2046
Practice Address - Country:US
Practice Address - Phone:303-437-2510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other