Provider Demographics
NPI:1013734268
Name:HILL, ALEXUS L (LMT)
Entity type:Individual
Prefix:
First Name:ALEXUS
Middle Name:L
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 1:836 HARMAN WAY S SPC 65
Mailing Address - Street 2:
Mailing Address - City:ORTING
Mailing Address - State:WA
Mailing Address - Zip Code:98360-9541
Mailing Address - Country:US
Mailing Address - Phone:760-468-2397
Mailing Address - Fax:
Practice Address - Street 1:18407 PACIFIC AVE S STE 11A
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-8375
Practice Address - Country:US
Practice Address - Phone:253-847-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61299487225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist