Provider Demographics
NPI:1285381368
Name:HUDSON, BRITTANY R (DPT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:R
Last Name:HUDSON
Suffix:
Gender:
Credentials:DPT
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:R
Other - Last Name:MIELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 43RD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-8401
Mailing Address - Country:US
Mailing Address - Phone:309-743-2070
Mailing Address - Fax:
Practice Address - Street 1:234 MAY MART DR
Practice Address - Street 2:
Practice Address - City:ROCHELLE
Practice Address - State:IL
Practice Address - Zip Code:61068-1716
Practice Address - Country:US
Practice Address - Phone:815-888-0850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070026486OtherDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION