Provider Demographics
NPI:1629653357
Name:HUGHES, IAIN ALLAN (LMT)
Entity Type:Individual
Prefix:
First Name:IAIN
Middle Name:ALLAN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-1702
Mailing Address - Country:US
Mailing Address - Phone:513-780-6005
Mailing Address - Fax:
Practice Address - Street 1:10921 REED HARTMAN HWY STE 215
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2850
Practice Address - Country:US
Practice Address - Phone:513-780-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.023866225700000X
KY175371225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist