NPI 1083134506

Devon Hudspeth, ATC

Practitioner Athletic Trainer Overland Park, KS

Practice location

Address: 12302 Mackey St, Overland Park, KS 66213-1431
Phone: (316) 882-2402

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083134506
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2017
Record last updated: 26 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.