Provider Demographics
NPI:1275968802
Name:MCHUGH, RYAN (BS)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4757 TEXAS RD
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66092-8798
Mailing Address - Country:US
Mailing Address - Phone:785-893-4386
Mailing Address - Fax:
Practice Address - Street 1:4757 TEXAS RD
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66092-8798
Practice Address - Country:US
Practice Address - Phone:785-893-4386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist