Provider Demographics
NPI:1922832807
Name:HILL, TIMOTHY JUSTIN
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JUSTIN
Last Name:HILL
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 1:601 E PIONEER AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-7694
Mailing Address - Country:US
Mailing Address - Phone:907-917-2115
Mailing Address - Fax:
Practice Address - Street 1:3251 NETTIE ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6531
Practice Address - Country:US
Practice Address - Phone:406-723-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant