Provider Demographics
NPI:1184901100
Name:HILL, CATHERINE HELEN (LMT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HELEN
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 1:12101 MENAUL BLVD NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1786
Mailing Address - Country:US
Mailing Address - Phone:505-306-7336
Mailing Address - Fax:505-286-2111
Practice Address - Street 1:12101 MENAUL BLVD NE
Practice Address - Street 2:SUITE D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1786
Practice Address - Country:US
Practice Address - Phone:505-306-7336
Practice Address - Fax:505-286-2111
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2553225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist