Provider Demographics
NPI:1851315568
Name:HEALEY, JILL (MED)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:HEALEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3 TIMBERWOOD DR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-2568
Mailing Address - Country:US
Mailing Address - Phone:603-647-9197
Mailing Address - Fax:
Practice Address - Street 1:718 SMYTH RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-7004
Practice Address - Country:US
Practice Address - Phone:603-624-4366
Practice Address - Fax:603-626-6557
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind