Provider Demographics
NPI:1912078056
Name:HILLYER, HOLLY D (OT)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:D
Last Name:HILLYER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:D
Other - Last Name:MEINTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:10905 COTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3715
Mailing Address - Country:US
Mailing Address - Phone:402-657-3299
Mailing Address - Fax:
Practice Address - Street 1:10905 COTTONWOOD LN
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3715
Practice Address - Country:US
Practice Address - Phone:402-657-3299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE719225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist