Individual
MR. SCOTT MICHAEL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1735 NW 123RD ST, CLIVE, IA 50325-8137
(515) 221-2573
Mailing address
1735 NW 123RD ST, CLIVE, IA 50325-8137
(515) 221-2573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
863
IA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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