Healthcare Provider Details

I. General information

NPI: 1447703814
Provider Name (Legal Business Name): HILLARY RAE TOENNIES AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILLARY RAE FEATHER

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3241 RACQUET CLUB DR
TRAVERSE CITY MI
49684-4732
US

IV. Provider business mailing address

3241 RACQUET CLUB DR
TRAVERSE CITY MI
49684-4732
US

V. Phone/Fax

Practice location:
  • Phone: 231-922-1500
  • Fax: 231-922-1502
Mailing address:
  • Phone: 231-922-1500
  • Fax: 231-922-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number9447
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000764
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: