MR. MATTHEW HUDERLE (NPI# 1114463775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114463775 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW HUDERLE |
| Credential | ATC |
| Practice Address |
1000 E 1st St Ste 400 Duluth MN 55805-2297 |
| Practice Telephone | 2187225513 |
| Mailing Telephone | 2187225513 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
3128 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4949 Harlem Rd, Amherst, NY 142262500 | 7162043240 |
| Street Address |
1000 E 1ST ST STE 400 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205932183 | Sheila Watson | Occupational Therapist | 1000 E 1st St Ste 400, Duluth, MN 55805-2297 | 2006-09-16 |
| 1750849345 | Daniel Glen Kolenda | Physician Assistant | 1000 E 1st St Ste 400, Duluth, MN 55805-2297 | 2019-03-04 |
| 1083048714 | Emily Holter | Physical Therapist | 1000 E 1st St Ste 400, Duluth, MN 55805-2297 | 2013-08-29 |
| 1104133727 | Adam Tanner Hermes | Physician Assistant | 1000 E 1st St Ste 400, Duluth, MN 55805-2297 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
| 1144787375 | Andrew Eric Norris | Specialist/Technologist | 2316 W 9th St Apt 1, Duluth, MN 55806-1229 | 2019-02-24 |
| 1417445776 | Jacqueline Marie Schultz | Specialist/Technologist | 2231 W 3rd St Apt 5, Duluth, MN 55806-1946 | 2018-04-23 |
| 1003315425 | Nicole Breuer | Specialist/Technologist | 1200 Kenwood Ave # 1665, Duluth, MN 55811-4199 | 2018-02-12 |
| 1003329640 | Michelle Whitt | Specialist/Technologist | 607 Kenwood Ave Apt 108, Duluth, MN 55811-2181 | 2017-11-06 |
| 1083145577 | William John Jensen | Specialist/Technologist | 3820 London Rd Apt 204, Duluth, MN 55804-2235 | 2017-03-25 |
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1821544784 | Devin Zenner | Specialist/Technologist | 1012 East Second St Level 5, Duluth, MN 55805-2200 | 2016-08-31 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.