Provider Demographics
NPI:1770380560
Name:PLANK-GENTRY, HILLARY
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:PLANK-GENTRY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 E CALLAHAN RD
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:CA
Mailing Address - Zip Code:96027-9713
Mailing Address - Country:US
Mailing Address - Phone:530-598-1109
Mailing Address - Fax:
Practice Address - Street 1:1132 E CALLAHAN RD
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:CA
Practice Address - Zip Code:96027-9713
Practice Address - Country:US
Practice Address - Phone:530-598-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach