Provider Demographics
NPI:1871236455
Name:HUDSON, ANNIE KATE
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:KATE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 BELMONT BLVD APT 301
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4509
Mailing Address - Country:US
Mailing Address - Phone:615-418-2752
Mailing Address - Fax:
Practice Address - Street 1:2025 N MOUNT JULIET RD STE 130
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3994
Practice Address - Country:US
Practice Address - Phone:615-885-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12665514225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist