Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE HUDSPETH
ActiveBLAKE HUDSPETH is a Athletic Trainer healthcare provider located in LEBANON, Illinois. NPI 1558988519 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LEBANON, IL
Registration Details
- NPI Number
- 1558988519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2020 (6.1159834869825 yrs)
- Last Updated
- Jun 25, 2020
- License
-
096004108 (IL)
Practice Information
- Address
-
701 COLLEGE RDLEBANON, IL, 622541291Browse IL providers · Browse ZIP 62254
- Phone
- 6185376929
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LEBANON, IL
| Name | Credential | NPI |
|---|---|---|
| PROF. DAWN M. HANKINS | PHD, ATC | 1013970706 |
| MR. LANCE L RINGHAUSEN | ATC | 1831531326 |
| AMBER M TREVINO | DAT, M.S, ATC, LAT | 1922498187 |
| ABIGAIL MAURER | ATC | 1366823346 |
| KRISTIN VON HATTEN | MS, ATC, CSCS | 1033662614 |
| JESSICA L HENDERSON | ATC | 1609399039 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.