Provider Demographics
NPI:1366588030
Name:HILL, CATHY G (PT)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:G
Last Name:HILL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:G
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:520 QUAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-1454
Mailing Address - Country:US
Mailing Address - Phone:435-673-9773
Mailing Address - Fax:435-673-9773
Practice Address - Street 1:520 QUAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-1454
Practice Address - Country:US
Practice Address - Phone:435-673-9773
Practice Address - Fax:435-673-9773
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT277012-24012251P0200X
AZ33792251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics