Individual
TYLER HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC, CEIS
Contact information
Practice address
550 STADIUM MALL DRIVE, HAMP, WEST LAFAYETTE, IN 47907
(317) 800-5137
Mailing address
550 STADIUM MALL DRIVE, HAMP B292, WEST LAFAYETTE, IN 47907
(317) 800-5137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002994A
IN
Other
Enumeration date
07/12/2018
Last updated
04/14/2022
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