Provider Demographics
NPI:1033462650
Name:HILL, KASKA RAE (MSPT)
Entity Type:Individual
Prefix:
First Name:KASKA
Middle Name:RAE
Last Name:HILL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:KASKA
Other - Middle Name:RAE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 GRAYBAR LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2110
Mailing Address - Country:US
Mailing Address - Phone:615-690-3091
Mailing Address - Fax:615-690-3095
Practice Address - Street 1:1900 GRAYBAR LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2110
Practice Address - Country:US
Practice Address - Phone:615-690-3091
Practice Address - Fax:615-690-3095
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist