Provider Demographics
NPI:1356353973
Name:HUGHES, CHRISTINA JOANNE (ATC/LAT, OPA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:JOANNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:ATC/LAT, OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1315 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-2239
Mailing Address - Country:US
Mailing Address - Phone:574-223-6444
Mailing Address - Fax:574-223-1512
Practice Address - Street 1:1400 E 9TH ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975-8931
Practice Address - Country:US
Practice Address - Phone:574-223-1510
Practice Address - Fax:574-223-1512
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36000613A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer