Blake Hudspeth

Athletic Trainer · Lebanon, IL

Individual Active NPI

NPI number 1558988519

Practice location

701 College Rd
Lebanon, IL 62254-1291
Phone
(618) 537-6929

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NPI record

NPI
1558988519
Entity type
Individual (Type 1)
Enumeration date
June 25, 2020
Last updated
June 25, 2020
Certified
June 25, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096004108 IL

About Blake Hudspeth

Blake Hudspeth is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 701 College Rd, Lebanon, IL 62254-1291. The NPI number 1558988519 was assigned on June 25, 2020 and the record was last updated on June 25, 2020.

Blake Hudspeth lists a license in the registry: #096004108 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Hudspeth?

The NPI number is 1558988519.

What is the phone number of Blake Hudspeth?

The phone number listed for the practice location is (618) 537-6929.

Where is Blake Hudspeth located?

701 College Rd, Lebanon, IL 62254-1291.

What is the taxonomy code for Blake Hudspeth?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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