Provider Demographics
NPI:1215357652
Name:HUGHLEY, VERONICA (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:HUGHLEY
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:HUGHLEY PEARL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:3800 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-3116
Mailing Address - Country:US
Mailing Address - Phone:202-230-8511
Mailing Address - Fax:
Practice Address - Street 1:3020 NELSON PLACE SE
Practice Address - Street 2:SUITE 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2155
Practice Address - Country:US
Practice Address - Phone:202-241-8120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019011999225700000X
DCMT1885225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist