Shane Gregory Hudson
Shane Gregory Hudson is an Athletic Trainer in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
25 Book LnJacksonville, IL 62650-2753
Phone: (217) 271-7337
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 096.005137 (IL) |
|---|
Record details
| NPI number | 1356856181 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 1, 2017 |
| Last updated in NPPES | August 6, 2021 |
| Certification date | August 6, 2021 |
| Mailing address | 25 Book Ln, Jacksonville, IL 62650-2753 |
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