Individual
KEVIN HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 HARVEST WAY, BOX 21359, CHEYENNE, WY 82003
(307) 421-9728
Mailing address
PO BOX 21359, CHEYENNE, WY 82003-7026
(307) 421-9728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0857
WY
Other
Enumeration date
07/31/2015
Last updated
03/05/2021
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