Healthcare Provider Details

I. General information

NPI: 1538080668
Provider Name (Legal Business Name): JAMES AUSTIN MICHAEL HILL ATC, LAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2359 US HIGHWAY 27 N
FALMOUTH KY
41040-8854
US

IV. Provider business mailing address

1210 KY HIGHWAY 36 E UNIT 1
CYNTHIANA KY
41031-7498
US

V. Phone/Fax

Practice location:
  • Phone: 859-654-3355
  • Fax:
Mailing address:
  • Phone: 859-234-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT2045
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: