Provider Demographics
NPI:1316372402
Name:HILLS, PRESTON JEREMIAH
Entity Type:Individual
Prefix:
First Name:PRESTON
Middle Name:JEREMIAH
Last Name:HILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 E OLD HIGHWAY 56 APT 318
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-4987
Mailing Address - Country:US
Mailing Address - Phone:620-870-9975
Mailing Address - Fax:
Practice Address - Street 1:888 E OLD HIGHWAY 56 APT 318
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-4987
Practice Address - Country:US
Practice Address - Phone:620-870-9975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-07
Last Update Date:2013-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant