Provider Demographics
NPI:1669293437
Name:CODDING, HILARY (LMT)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:CODDING
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2427 FAIRWAY WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3670
Mailing Address - Country:US
Mailing Address - Phone:714-552-2763
Mailing Address - Fax:
Practice Address - Street 1:2427 FAIRWAY WOOD CIR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3670
Practice Address - Country:US
Practice Address - Phone:714-552-2763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-0025842225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist