Provider Demographics
NPI:1225274798
Name:HUGGINS, ROBERT (ATC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:HUGGINS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2095 HILLSIDE RD
Mailing Address - Street 2:UNIT 1110
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06269-1110
Mailing Address - Country:US
Mailing Address - Phone:860-486-6711
Mailing Address - Fax:
Practice Address - Street 1:2095 HILLSIDE RD
Practice Address - Street 2:UNIT 1110
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-1090
Practice Address - Country:US
Practice Address - Phone:860-486-6711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0005442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer