Provider Demographics
NPI:1467874628
Name:HUGHES, LAUREN ASHLEE (DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ASHLEE
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:465 S. LAWRENCE BLVD.
Mailing Address - Street 2:
Mailing Address - City:KEYSTONE HEIGHTS
Mailing Address - State:FL
Mailing Address - Zip Code:32656
Mailing Address - Country:US
Mailing Address - Phone:352-473-7560
Mailing Address - Fax:352-473-7566
Practice Address - Street 1:465 S. LAWRENCE BLVD.
Practice Address - Street 2:
Practice Address - City:KEYSTONE HEIGHTS
Practice Address - State:FL
Practice Address - Zip Code:32656
Practice Address - Country:US
Practice Address - Phone:352-473-7560
Practice Address - Fax:352-473-7566
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTT28913225100000X
FLPT28913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist