MEDICARE: DR. SEAN ALLEN HILLER PT, DPT, CSCS

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
1	225100000X	Physical Therapist	PTH8536	AL

General Provider Information

NPI Number	:	1578087698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN ALLEN HILLER PT, DPT, CSCS

Provider Business Mailing Address
First Line	:	533 UNIVERSITY BLVD BLDG A
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-4415
Country	:	US
Telephone Number	:	205-471-4438
Fax Number	:	719-205-4158

Provider Business Practice Location Address
First Line	:	3918 MONTCLAIR RD STE 101
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35213-2417
Country	:	US
Telephone Number	:	205-471-4438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2017
Last Update Date	:	11/13/2019

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