Michael Damon Hudson in Pea Ridge - Physical Therapy Assistant
Michael Damon Hudson - NPI 1922132166
Michael Damon Hudson is a Physical Therapy Assistant in Pea Ridge, Arkansas. Michael Damon Hudson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Michael Damon Hudson is 1922132166. The last update date is 2011-01-19.
Michael Damon Hudson's current location address is 10542 Blue Jay Rd, Pea Ridge, Arkansas. You can contact this provider via phone number 8708345332. The mailing address for Michael Damon Hudson is 10542 Blue Jay Rd, Pea Ridge, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Damon Hudson |
|---|---|
| Address | 10542 Blue Jay Rd, Pea Ridge, Arkansas |
| Phone Number | 8708345332 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T.A. |
NPI Number Detail
| NPI Number | 1922132166 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2011-01-19 |
Provider Mailing Address Detail
| Address | 10542 Blue Jay Rd |
|---|---|
| City | Pea Ridge |
| State | Arkansas (AR) |
| Post Code | 727512724 |
| Phone Number | 8708345332 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA967 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PTA 967 | AR | ARKANSAS PHYSICAL THERAPY BOAR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Damon Hudson?
The Michael Damon Hudson has been issued the NPI (National Provider Identifier) 1922132166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Michael Damon Hudson?
The Michael Damon Hudson is situated at 10542 Blue Jay Rd, in the city of Pea Ridge, state of AR, with the zip code 727512724.
What is the Michael Damon Hudson's specialty and taxonomy code?
The Michael Damon Hudson's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
When did Michael Damon Hudson receive its 1922132166 assignment?
The Michael Damon Hudson was assigned its 1922132166 on 2007-03-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Michael Damon Hudson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Damon Hudson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-19.