MEDICARE: DR. RITA ANNE HUGHES DC

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	111N00000X	Chiropractor	CH00002375	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0105581	OTHER	WA	WA L&I PROVIDER NO.
2	91-2105628	OTHER	WA	FEDERAL TAX ID NO.

General Provider Information

NPI Number	:	1205990777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA ANNE HUGHES DC

Provider Business Mailing Address
First Line	:	13106 SE 240TH ST
Second Line	:	SUITE 201
City	:	KENT
State	:	WA
Zip	:	98031-9210
Country	:	US
Telephone Number	:	253-631-1118
Fax Number	:	253-631-1156

Provider Business Practice Location Address
First Line	:	13106 SE 240TH ST
Second Line	:	SUITE 201
City	:	KENT
State	:	WA
Zip	:	98031-9210
Country	:	US
Telephone Number	:	253-631-1118
Fax Number	:	253-631-1156

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	09/20/2012

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Directions to “ DR. RITA ANNE HUGHES DC” Practice Location

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