Healthcare Provider Details

I. General information

NPI: 1871824748
Provider Name (Legal Business Name): THE HUDSON GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2010
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 S 8TH ST
CANON CITY CO
81212-4906
US

IV. Provider business mailing address

722 S 8TH ST
CANON CITY CO
81212-4906
US

V. Phone/Fax

Practice location:
  • Phone: 719-345-4097
  • Fax: 719-345-4098
Mailing address:
  • Phone: 719-345-4097
  • Fax: 719-345-4098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL4347
License Number StateCO

VIII. Authorized Official

Name: KENDALL GILL
Title or Position: OWNER
Credential: DPT
Phone: 817-929-1420