Provider Demographics
NPI:1710504303
Name:HILAND, DAVID SPENCER
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SPENCER
Last Name:HILAND
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 1:150 JAKE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BEECHGROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37018-3177
Mailing Address - Country:US
Mailing Address - Phone:615-772-7987
Mailing Address - Fax:
Practice Address - Street 1:150 JAKE BRANCH RD
Practice Address - Street 2:
Practice Address - City:BEECHGROVE
Practice Address - State:TN
Practice Address - Zip Code:37018-3177
Practice Address - Country:US
Practice Address - Phone:615-772-7987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer