MEDICARE: GREG HUGHES

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	225700000X	Massage Therapist	MA00015749	WA

General Provider Information

NPI Number	:	1891912093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREG HUGHES

Provider Business Mailing Address
First Line	:	2303 N PALISADES
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-9535
Country	:	US
Telephone Number	:	509-993-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2303 N PALISADES
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-9535
Country	:	US
Telephone Number	:	509-993-5010
Fax Number	:

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	03/17/2016

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