Provider Demographics
NPI:1649019084
Name:RILEY HILL, LAURA MALYNN (LMT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MALYNN
Last Name:RILEY 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 1:832 LOGAN LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-7814
Mailing Address - Country:US
Mailing Address - Phone:443-707-0939
Mailing Address - Fax:
Practice Address - Street 1:873 CLARE LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4317
Practice Address - Country:US
Practice Address - Phone:717-840-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG015586225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist