Provider Demographics
NPI:1851458277
Name:HUGHES, ENID (PT)
Entity Type:Individual
Prefix:MRS
First Name:ENID
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7758 TALL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5526
Mailing Address - Country:US
Mailing Address - Phone:435-658-1011
Mailing Address - Fax:801-572-4866
Practice Address - Street 1:9844 S 1300 E STE 150
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-4687
Practice Address - Country:US
Practice Address - Phone:801-571-0099
Practice Address - Fax:801-572-4866
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0000006655Medicare ID - Type Unspecified