NPI 1588675318

Kelly T Hudson, PTA

Practitioner Physical Therapy Assistant Covington, LA

Practice location

Address: 103 Northpark Blvd Suite 205, Covington, LA 70433-6119
Phone: (985) 871-7878
Fax: (985) 871-9355
Mailing address: 1305 Andorra Ln, Covington, LA 70433-4546

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A6846R (LA)

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Registry record

NPI: 1588675318
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 8 Jul 2007

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.