Provider Demographics
NPI:1528877768
Name:HOCKADAY, SYDNEY LEANN (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:LEANN
Last Name:HOCKADAY
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8412 WILSON CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINBURG
Mailing Address - State:AR
Mailing Address - Zip Code:72946-3665
Mailing Address - Country:US
Mailing Address - Phone:479-252-8066
Mailing Address - Fax:
Practice Address - Street 1:8412 WILSON CIR
Practice Address - Street 2:
Practice Address - City:MOUNTAINBURG
Practice Address - State:AR
Practice Address - Zip Code:72946-3665
Practice Address - Country:US
Practice Address - Phone:479-252-8066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1616605225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist