KENNA MEGAN HODEAUX


Address: 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701
Phone: 4795754018

KENNA MEGAN HODEAUX (NPI# 1407204217) 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) 1407204217
Entity Type Individual
Full Name KENNA MEGAN HODEAUX
Credential ATC, LAT
Practice Address 1201 Leroy Pond Drive
Sports Medicine Department
Fayetteville
AR 72701
Mailing Address 985 W Berry St
Apt #4
Fayetteville
AR 72701-1875
Practice Telephone 4795754018
Practice Fax Number 4795756525
Mailing Telephone 5209097768
Enumeration Date 2016-06-02
Last Update Date 2016-06-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 1201 LEROY POND DRIVE
SPORTS MEDICINE DEPARTMENT
City FAYETTEVILLE
State AR
Zip Code 72701

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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
1124628979 Casey Brooks Specialist/Technologist 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 2020-10-30
1053971622 Elizabeth Bacon Studdard Specialist/Technologist 1671 S Colonnade Dr Apt 203, Fayetteville, AR 72701-7819 2019-06-17
1457818486 Kyle Cravey Specialist/Technologist 7 Sonoma Dr, Fayetteville, TN 37334-4837 2019-02-26
1023574654 Katie Nichole Buria Specialist/Technologist 1247 W Mount Comfort Rd Apt 309, Fayetteville, AR 72703-1597 2019-02-19
1700341682 Elli Dinkmeyer Specialist/Technologist 640 N Wordsworth Ln, Fayetteville, AR 72704-5127 2019-02-05
1225520828 Jacoby Markie Clemons Specialist/Technologist 1201 West Leroy Pond Dr, Fayetteville, AR 72701 2018-05-31
1952892390 Ambur Dryer Specialist/Technologist 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 2018-05-22
1346745791 Ruth Maria Pacheco Specialist/Technologist 2306 Bathgate Ct, Fayetteville, NC 28312-9614 2018-03-28
1306354469 Nataya Nija Geddie Specialist/Technologist 720 Larkspur Dr, Fayetteville, NC 28311-6957 2018-01-11
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Competitor

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City FAYETTEVILLE
Zip Code 72701

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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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