Provider Demographics
NPI:1134276918
Name:HILLMER, STEVEN MATTHEW (ATC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MATTHEW
Last Name:HILLMER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W MAIN ST
Mailing Address - Street 2:105A WILLIAMS CENTER
Mailing Address - City:WHITEWATER
Mailing Address - State:WI
Mailing Address - Zip Code:53190-1705
Mailing Address - Country:US
Mailing Address - Phone:262-472-1150
Mailing Address - Fax:262-472-2791
Practice Address - Street 1:800 W MAIN ST
Practice Address - Street 2:105A WILLIAMS CENTER
Practice Address - City:WHITEWATER
Practice Address - State:WI
Practice Address - Zip Code:53190-1705
Practice Address - Country:US
Practice Address - Phone:262-472-1150
Practice Address - Fax:262-472-2791
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48-0392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer