Provider Demographics
NPI:1164646956
Name:HILGERS, AMY J (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:J
Last Name:HILGERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 PARTRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:STAYTON
Mailing Address - State:OR
Mailing Address - Zip Code:97383-9596
Mailing Address - Country:US
Mailing Address - Phone:503-769-4581
Mailing Address - Fax:
Practice Address - Street 1:1620 PARTRIDGE CT
Practice Address - Street 2:
Practice Address - City:STAYTON
Practice Address - State:OR
Practice Address - Zip Code:97383-9596
Practice Address - Country:US
Practice Address - Phone:503-769-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2309225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist