Provider Demographics
NPI:1902552094
Name:HUCKS, APRIL DEANNE (LMT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DEANNE
Last Name:HUCKS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-3006
Mailing Address - Country:US
Mailing Address - Phone:843-222-9471
Mailing Address - Fax:
Practice Address - Street 1:1119 3RD AVE STE E
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-5135
Practice Address - Country:US
Practice Address - Phone:843-222-9471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-27
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1371225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist