Provider Demographics
NPI:1033291661
Name:HILL REHAB & MANUAL THERAPY, LLC
Entity Type:Organization
Organization Name:HILL REHAB & MANUAL THERAPY, LLC
Other - Org Name:BRIAN HILL, SINGLE MEMBER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER AND MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:573-632-6999
Mailing Address - Street 1:PO BOX 105020
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65110-5020
Mailing Address - Country:US
Mailing Address - Phone:573-632-6999
Mailing Address - Fax:573-636-6325
Practice Address - Street 1:1433 CHRISTY DR
Practice Address - Street 2:SUITE 3
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-2877
Practice Address - Country:US
Practice Address - Phone:573-632-6999
Practice Address - Fax:573-636-6325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty