MEDICARE: REBECCA HUGHEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2018021487	MO

General Provider Information

NPI Number	:	1306325717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA HUGHEY DPT

Provider Business Mailing Address
First Line	:	22120 MIDLAND DR STE 1
Second Line	:
City	:	SHAWNEE
State	:	KS
Zip	:	66226-3554
Country	:	US
Telephone Number	:	913-745-4064
Fax Number	:

Provider Business Practice Location Address
First Line	:	1634 SE BLUE PKWY
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64063-3191
Country	:	US
Telephone Number	:	816-944-4244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2018
Last Update Date	:	08/08/2018

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