Provider Demographics
NPI:1346334877
Name:HILL, JOHN B (DPT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:HILL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5848 FASHION BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6121
Mailing Address - Country:US
Mailing Address - Phone:801-314-4040
Mailing Address - Fax:801-314-4043
Practice Address - Street 1:5848 FASHION BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6121
Practice Address - Country:US
Practice Address - Phone:801-314-4040
Practice Address - Fax:801-314-4043
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTPT 2658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist