Provider Demographics
NPI:1669146221
Name:HALFHILL, HANNAH FAITH
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:FAITH
Last Name:HALFHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:KODIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99615-7302
Mailing Address - Country:US
Mailing Address - Phone:907-486-4042
Mailing Address - Fax:907-486-1033
Practice Address - Street 1:326 CENTER AVE
Practice Address - Street 2:STE 100
Practice Address - City:KODIAK
Practice Address - State:AK
Practice Address - Zip Code:99615-9961
Practice Address - Country:US
Practice Address - Phone:907-486-4042
Practice Address - Fax:907-486-1033
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK174276225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist