Healthcare Provider Details

I. General information

NPI: 1972986446
Provider Name (Legal Business Name): ASHLEIGH N HILLIGAS ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12311 PINE BLUFFS WAY UNIT 112
PARKER CO
80134-7402
US

IV. Provider business mailing address

4148 S OURAY WAY
AURORA CO
80013-2932
US

V. Phone/Fax

Practice location:
  • Phone: 720-851-6695
  • Fax:
Mailing address:
  • Phone: 303-620-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number24-01027
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: