Healthcare Provider Details

I. General information

NPI: 1437096799
Provider Name (Legal Business Name): JAMES EDWARD HODGES LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 DENTON RD STE B
DOTHAN AL
36303-2382
US

IV. Provider business mailing address

2730 MIMOSA DR
DOTHAN AL
36301-9466
US

V. Phone/Fax

Practice location:
  • Phone: 334-790-6891
  • Fax:
Mailing address:
  • Phone: 334-790-6891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number6167
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: