Provider Demographics
NPI:1508200015
Name:HILL, MANASHA (LMT)
Entity Type:Individual
Prefix:MS
First Name:MANASHA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 LEEMAN FERRY RD SW
Mailing Address - Street 2:SUITE A5
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5614
Mailing Address - Country:US
Mailing Address - Phone:256-200-7274
Mailing Address - Fax:
Practice Address - Street 1:3077 LEEMAN FERRY RD SW
Practice Address - Street 2:SUITE A5
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5614
Practice Address - Country:US
Practice Address - Phone:256-200-7274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3045174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist