Provider Demographics
NPI:1386821635
Name:HUGHES, LOREN SHRINER (PT)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:SHRINER
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LOREN
Other - Middle Name:
Other - Last Name:SHRINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:129 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4434
Mailing Address - Country:US
Mailing Address - Phone:828-258-8800
Mailing Address - Fax:
Practice Address - Street 1:58 WEAVER VILLAGE WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-2878
Practice Address - Country:US
Practice Address - Phone:828-258-8800
Practice Address - Fax:828-484-8859
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205321225100000X
NCP13711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ51326AMedicare PIN