Shane Gregory Hudson
NPI #1356856181 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1356856181
- Entity Type
- Individual
- Name
- Shane Gregory Hudson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Dec 1, 2017
- Last Updated
- Aug 6, 2021
Practice Location
- Address
- 25 BOOK LN
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2753
- Phone
- (217) 271-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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