Provider Demographics
NPI:1043383409
Name:WOOLLEN HILKE, VELVA H (MSR, PT)
Entity Type:Individual
Prefix:MRS
First Name:VELVA
Middle Name:H
Last Name:WOOLLEN HILKE
Suffix:
Gender:F
Credentials:MSR, PT
Other - Prefix:MRS
Other - First Name:HAYDEN
Other - Middle Name:WOOLLEN
Other - Last Name:HILKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSR, PT
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:WY
Mailing Address - Zip Code:83014-0729
Mailing Address - Country:US
Mailing Address - Phone:307-699-7667
Mailing Address - Fax:307-200-6597
Practice Address - Street 1:1230 N FALL CREEK RD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:WY
Practice Address - Zip Code:83014-5058
Practice Address - Country:US
Practice Address - Phone:843-345-9676
Practice Address - Fax:307-200-6597
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY12202251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic