Provider Demographics
NPI:1487706032
Name:HILMAN, DANICA ROSE (LMP)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:ROSE
Last Name:HILMAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-8176
Mailing Address - Country:US
Mailing Address - Phone:360-600-7714
Mailing Address - Fax:
Practice Address - Street 1:302 E MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-8508
Practice Address - Country:US
Practice Address - Phone:360-687-1133
Practice Address - Fax:360-887-8026
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022114225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist