Provider Demographics
NPI:1336198050
Name:HILLIARD, DOUGLAS ALLEN (RKT)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:ALLEN
Last Name:HILLIARD
Suffix:
Gender:M
Credentials:RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 HANNASTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-9027
Mailing Address - Country:US
Mailing Address - Phone:724-352-1569
Mailing Address - Fax:
Practice Address - Street 1:1080A
Practice Address - Street 2:SAXONBURG BLVD
Practice Address - City:SAXONBURG
Practice Address - State:PA
Practice Address - Zip Code:16056
Practice Address - Country:US
Practice Address - Phone:724-265-1600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist