Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1361 | SD |
NPI | 1043241847 |
---|---|
Provider Name | Brett Hudson |
First Address | Sioux Falls, SD 57106-2322 |
Second Address | Sioux Falls, SD 57106-2322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 27/09/2012 |