Provider Demographics
NPI:1144571084
Name:HILT, TREY J (DC)
Entity Type:Individual
Prefix:DR
First Name:TREY
Middle Name:J
Last Name:HILT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9255 NE 83RD TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-7155
Mailing Address - Country:US
Mailing Address - Phone:816-429-7181
Mailing Address - Fax:
Practice Address - Street 1:9255 NE 83RD TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-7155
Practice Address - Country:US
Practice Address - Phone:816-429-7181
Practice Address - Fax:816-429-7175
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012032747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO230084333Medicaid