Provider Demographics
NPI:1134898190
Name:HILL, BREANA KARLENE (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:BREANA
Middle Name:KARLENE
Last Name:HILL
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:BREANA
Other - Middle Name:KARLENE
Other - Last Name:SCHUITEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1051 SW TWIN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-3215
Mailing Address - Country:US
Mailing Address - Phone:712-449-8452
Mailing Address - Fax:
Practice Address - Street 1:501 NW VESPER ST
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2745
Practice Address - Country:US
Practice Address - Phone:712-449-8452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-12
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2255A2300X
MO2023032287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer