Provider Demographics
NPI:1245276369
Name:MALONEY-HILLS, CATHY A (PT)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:A
Last Name:MALONEY-HILLS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:A
Other - Last Name:HILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:3915 GOLDEN VALLEY ROAD
Mailing Address - Street 2:COURAGE CENTER
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4298
Mailing Address - Country:US
Mailing Address - Phone:763-520-0414
Mailing Address - Fax:763-520-0355
Practice Address - Street 1:8100 W 78TH ST STE 205
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2560
Practice Address - Country:US
Practice Address - Phone:952-914-8065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4668225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
53Q67HIOtherBCBS MINNESOTA
6400454OtherMEDICA
HP43212OtherHEALTHPARTNERS