Provider Demographics
NPI:1346778974
Name:MONAHAN-HUGHES, LAURIE THERESA (DPT)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:THERESA
Last Name:MONAHAN-HUGHES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 E BROOMFIELD ST STE A3
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-4491
Mailing Address - Country:US
Mailing Address - Phone:989-773-1333
Mailing Address - Fax:
Practice Address - Street 1:1234 E BROOMFIELD ST STE A3
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-4491
Practice Address - Country:US
Practice Address - Phone:989-773-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501018217225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist