Provider Demographics
NPI:1023155850
Name:HUGHES, ELIZABETH ROCHELLE (ATC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ROCHELLE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4640 BEECH AVE
Mailing Address - Street 2:APT. 16
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-1982
Mailing Address - Country:US
Mailing Address - Phone:319-765-0301
Mailing Address - Fax:
Practice Address - Street 1:3620 VANRICK DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-0805
Practice Address - Country:US
Practice Address - Phone:269-345-1125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer