Provider Demographics
NPI:1629487798
Name:MCHUGH, RYAN (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10873 CLEMSON BLVD UNIT 113
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-1397
Mailing Address - Country:US
Mailing Address - Phone:864-654-2770
Mailing Address - Fax:864-635-7790
Practice Address - Street 1:10873 CLEMSON BLVD UNIT 113
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1397
Practice Address - Country:US
Practice Address - Phone:864-654-2770
Practice Address - Fax:864-635-7790
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor