Individual
CHASE BAIRD HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014414
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UCL654M96436
BLUE CROSS BLUE SHIELD
CO
Enumeration date
03/11/2019
Last updated
03/11/2019
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