Provider Demographics
NPI:1295010841
Name:HILL, CHRISTY (LMP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 ALDER ST NW
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-1663
Mailing Address - Country:US
Mailing Address - Phone:509-754-3295
Mailing Address - Fax:509-754-3296
Practice Address - Street 1:51 ALDER ST NW
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-1663
Practice Address - Country:US
Practice Address - Phone:509-754-3295
Practice Address - Fax:509-754-3296
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60111556225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist