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NPI Code Detail

MEDICARE: MS. ALYSSA MICHELLE HUDSON

MEDICARE: MS. ALYSSA MICHELLE HUDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1144177890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALYSSA MICHELLE HUDSON
Provider Business Mailing Address
First Line : PO BOX 15408
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93406-5408
Country : US
Telephone Number : 805-540-6500
Fax Number : 805-540-6501
Provider Business Practice Location Address
First Line : 784 HIGH ST
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-5243
Country : US
Telephone Number : 805-540-6500
Fax Number : 805-540-6501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/20/2026

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Directions to “ MS. ALYSSA MICHELLE HUDSON ” Practice Location

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