Doctor Name: | MICHELLE LEA HUDSON |
NPI Number: | 1932231610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 2005025950 |
Business Practice Address: | 638 Nw Jefferson St Grain Valley, MO - 640298278 |
Business Phone Number: | 8168360800 |
Business Fax Number: | 8168363229 |
Mailing Address: | 638 Nw Jefferson St, GRAIN VALLEY |
State: | MO |
Postal Code: | 640298278 |
Phone Number: | 8168360800 |
Fax Number: | 8168363229 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2005025950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |