Healthcare Provider Details

I. General information

NPI: 1255967543
Provider Name (Legal Business Name): JULIA ANN GRIFFIN-HODGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26301 CURTISS WRIGHT PKWY
RICHMOND HEIGHTS OH
44143-4413
US

IV. Provider business mailing address

881 KEYSTONE DR
CLEVELAND HEIGHTS OH
44121-2033
US

V. Phone/Fax

Practice location:
  • Phone: 470-328-1805
  • Fax:
Mailing address:
  • Phone: 470-328-1805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.024028
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: