Provider Demographics
NPI:1467508358
Name:HUGHES, EMILY JUDITH (PHYSICAL THERAPY AS)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:JUDITH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32459 HWY 83
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:MO
Mailing Address - Zip Code:65355
Mailing Address - Country:US
Mailing Address - Phone:660-723-5626
Mailing Address - Fax:
Practice Address - Street 1:204 SEMINARY
Practice Address - Street 2:SUN LAKES PHYSICAL THERAPY
Practice Address - City:WARSAW
Practice Address - State:MO
Practice Address - Zip Code:65355
Practice Address - Country:US
Practice Address - Phone:660-438-6993
Practice Address - Fax:660-438-6943
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6432225200000X
MO2008003307225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant