Individual
TYLA HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MOSHER DR, PROPHETSTOWN, IL 61277-1001
(815) 537-5175
Mailing address
1402 13TH ST, MOLINE, IL 61265-3018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008420
IL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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