Individual
MICHELLE LEA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
638 NW JEFFERSON ST, GRAIN VALLEY, MO 64029-8278
(816) 836-0800
(816) 836-3229
Mailing address
12303 ASTOR CT, PECULIAR, MO 64078-8331
(816) 836-0800
(816) 836-3229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005025950
MO
Other
Enumeration date
03/09/2007
Last updated
09/25/2020
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