DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KELLI ALISA HUDSON, ATC

Active Sole Proprietor

MISS KELLI ALISA HUDSON, ATC is a Athletic Trainer healthcare provider located in WALL TOWNSHIP, New Jersey. NPI 1952525750 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WALL TOWNSHIP, NJ

Registration Details

NPI Number
1952525750
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.328328521194 yrs)
Last Updated
Oct 26, 2016
Licenses
25MT00114300 (NJ)
25MT00114300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1635 18TH AVE
WALL TOWNSHIP, NJ, 077193723
Browse NJ providers · Browse ZIP 07719
Phone
7322218702
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in WALL TOWNSHIP, NJ

Name Credential NPI
MR. MICHAEL J HACKETT ATR CSCS 1699934042
DR. CHRISTINA MARIE MERCKX ATC 1588140255
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.