Provider Demographics
NPI:1275666000
Name:HILLS, RICHARD (PT, DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:HILLS
Suffix:
Gender:M
Credentials:PT, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 YORK AVE S STE 600
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2367
Mailing Address - Country:US
Mailing Address - Phone:952-941-3311
Mailing Address - Fax:952-944-2004
Practice Address - Street 1:6550 YORK AVE S STE 600
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2367
Practice Address - Country:US
Practice Address - Phone:952-941-3311
Practice Address - Fax:952-944-2004
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4669225100000X
MN3231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN295L2TWOtherBCBS P.T.
MN295L0TWOtherBCBS MN CHIROPRACTIC
MN295L2TWOtherBCBS P.T.
MN133008000Medicaid