Tyler Hudson, MAT, LAT, ATC, CEIS
NPI #1801372974 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1801372974
- Entity Type
- Individual
- Name
- Tyler Hudson, MAT, LAT, ATC, CEIS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MAT, LAT, ATC, CEIS
- Enumeration Date
- Jul 12, 2018
- Last Updated
- Apr 14, 2022
Practice Location
- Address
- 550 STADIUM MALL DRIVE
- Address 2
- HAMP
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47907
- Phone
- (317) 800-5137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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