Provider Demographics
NPI:1497193072
Name:HUGHES CHIROPRACTIC AND MASSAGE, LLC
Entity Type:Organization
Organization Name:HUGHES CHIROPRACTIC AND MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-271-4543
Mailing Address - Street 1:1222 BRONSON WAY N
Mailing Address - Street 2:120
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5762
Mailing Address - Country:US
Mailing Address - Phone:425-271-4543
Mailing Address - Fax:
Practice Address - Street 1:1222 BRONSON WAY N
Practice Address - Street 2:SUITE 120
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5762
Practice Address - Country:US
Practice Address - Phone:425-271-4543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CH00034499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8868006Medicare UPIN