Provider Demographics
NPI:1205990777
Name:HUGHES, RITA ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:ANNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13106 SE 240TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-9210
Mailing Address - Country:US
Mailing Address - Phone:253-631-1118
Mailing Address - Fax:253-631-1156
Practice Address - Street 1:13106 SE 240TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-9210
Practice Address - Country:US
Practice Address - Phone:253-631-1118
Practice Address - Fax:253-631-1156
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0105581OtherWA L&I PROVIDER NO.
WA91-2105628OtherFEDERAL TAX ID NO.
WA000167002Medicare ID - Type UnspecifiedPROVIDER NO.
WA8870696Medicare PIN