Provider Demographics
NPI:1487308722
Name:HUGHES, CLARA
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 TOWNHALL RD
Mailing Address - Street 2:
Mailing Address - City:MELVIN
Mailing Address - State:MI
Mailing Address - Zip Code:48454-9716
Mailing Address - Country:US
Mailing Address - Phone:810-543-3202
Mailing Address - Fax:
Practice Address - Street 1:12150 30 MILE RD STE 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48095-2035
Practice Address - Country:US
Practice Address - Phone:586-336-2480
Practice Address - Fax:586-336-2481
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant