Provider Demographics
NPI:1265671069
Name:HILL, JENNIFER CLAIRE X (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CLAIRE
Last Name:HILL
Suffix:X
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:CLAIRE
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1344
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-1344
Mailing Address - Country:US
Mailing Address - Phone:512-829-4279
Mailing Address - Fax:
Practice Address - Street 1:351 HUCK FINN TRL
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4387
Practice Address - Country:US
Practice Address - Phone:512-829-4279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1174010225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist