Provider Demographics
NPI:1386269157
Name:HUGHES, ABIGAIL (ATC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7944 CLEVELAND AVE SE
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:OH
Mailing Address - Zip Code:44643-9748
Mailing Address - Country:US
Mailing Address - Phone:330-312-6675
Mailing Address - Fax:
Practice Address - Street 1:7944 CLEVELAND AVENUE SE
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:OH
Practice Address - Zip Code:44643-4464
Practice Address - Country:US
Practice Address - Phone:330-312-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program