Provider Demographics
NPI:1033657457
Name:YOUNG, HILARY M (DPT)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:M
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:M
Other - Last Name:MCNICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10400 W 103RD ST
Mailing Address - Street 2:STE 22
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-2664
Mailing Address - Country:US
Mailing Address - Phone:913-322-4000
Mailing Address - Fax:913-322-4001
Practice Address - Street 1:3125 INDEPENDENCE DR STE 300B
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4168
Practice Address - Country:US
Practice Address - Phone:205-879-7501
Practice Address - Fax:205-879-0675
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-057132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic