Provider Demographics
NPI:1548225071
Name:MCHUGH, NANCY (OT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7274
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-0042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13210 SE 240TH ST
Practice Address - Street 2:SUITE C1
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-5182
Practice Address - Country:US
Practice Address - Phone:253-639-3336
Practice Address - Fax:253-639-3883
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA610062500OtherOWCP
WA9057316Medicaid
WA1876KNOtherREGENCE #
WA8906522OtherL&I CRIME VICTIMS COMP
WA7683584Medicaid
WA0198263OtherDEPT OF L&I
WA7493714OtherAETNA
WA9057316Medicaid
WA7493714OtherAETNA