MR. Kelly T Hudson, PTA

NPI #1588675318 in Covington, Louisiana

Provider Information

NPI Number: 1588675318
Entity Type: Individual
Name: MR. Kelly T Hudson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 103 NORTHPARK BLVD
Address 2: SUITE 205
City: Covington
State: Louisiana
ZIP Code: 70433-6119
Phone: (985) 871-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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