Provider Demographics
NPI:1194991745
Name:HODGES BARNES, STEPHANIE (CFTS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:HODGES BARNES
Suffix:
Gender:F
Credentials:CFTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-3329
Mailing Address - Country:US
Mailing Address - Phone:336-627-4854
Mailing Address - Fax:336-627-8925
Practice Address - Street 1:103 W STADIUM DR
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-3329
Practice Address - Country:US
Practice Address - Phone:336-627-4854
Practice Address - Fax:336-627-8925
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCFTS0348225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter