Provider Demographics
NPI:1013066539
Name:HILL, HOLLY M (ATC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4236 LAKE CREST CIR APT 3A
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-6699
Mailing Address - Country:US
Mailing Address - Phone:269-760-7393
Mailing Address - Fax:
Practice Address - Street 1:4236 LAKE CREST CIR APT 3A
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-6699
Practice Address - Country:US
Practice Address - Phone:269-760-7393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer