Healthcare Provider Details

I. General information

NPI: 1003359431
Provider Name (Legal Business Name): ROBIN HUDSON DAT, LMT, ATC, CHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2016
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4057 RILEY FUZZEL RD
SPRING TX
77386-4632
US

IV. Provider business mailing address

25329 BUDDE RD STE 704
THE WOODLANDS TX
77380-1695
US

V. Phone/Fax

Practice location:
  • Phone: 803-361-0968
  • Fax:
Mailing address:
  • Phone: 832-779-1698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT4772
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT128058
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: