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NPI Code Detail

MEDICARE: AMY CLARK HILLIARD

MEDICARE:   AMY CLARK HILLIARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist5692TN
2225100000XPhysical Therapist5692TN

General Provider Information

NPI Number : 1396912382
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CLARK HILLIARD
Provider Business Mailing Address
First Line : 3141 BRIMSTEAD DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-6225
Country : US
Telephone Number : 615-794-8121
Fax Number :
Provider Business Practice Location Address
First Line : 3141 BRIMSTEAD DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-6225
Country : US
Telephone Number : 615-794-8121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2008
Last Update Date : 04/16/2009

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