Michael Damon Hudson, P.T.A.

Physical Therapy Assistant · Gravette, AR

Individual Active NPI

NPI number 1922132166

Practice location

1101 Jackson St SW
Gravette, AR 72736-9121
Phone
(479) 344-6740

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NPI record

NPI
1922132166
Entity type
Individual (Type 1)
Enumeration date
March 16, 2007
Last updated
January 19, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA967 AR

Mailing address

10542 Blue Jay Rd
Pea Ridge, AR 72751-2724
Phone
(870) 834-5332

About Michael Hudson

Michael Damon Hudson, P.T.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1101 Jackson St SW, Gravette, AR 72736-9121. The NPI number 1922132166 was assigned on March 16, 2007 and the record was last updated on January 19, 2011.

Michael Hudson lists a license in the registry: #PTA967 (AR) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Damon Hudson, P.T.A.?

The NPI number is 1922132166.

What is the phone number of Michael Hudson?

The phone number listed for the practice location is (479) 344-6740.

Where is Michael Hudson located?

1101 Jackson St SW, Gravette, AR 72736-9121.

What is the taxonomy code for Michael Hudson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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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