Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Hudspeth

Individual provider Athletic Trainer · NPI 1558988519

Blake Hudspeth is an Athletic Trainer in Lebanon, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

701 College Rd
Lebanon, IL 62254-1291
Phone: (618) 537-6929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096004108 (IL)

Record details

NPI number1558988519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address701 College Rd, Lebanon, IL 62254-1291

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