Healthcare Provider Details

I. General information

NPI: 1134898190
Provider Name (Legal Business Name): BREANA KARLENE HILL PT, DPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BREANA KARLENE SCHUITEMAN

II. Dates (important events)

Enumeration Date: 09/12/2021
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 NW VESPER ST
BLUE SPRINGS MO
64014-2745
US

IV. Provider business mailing address

1051 SW TWIN CREEK DR
LEES SUMMIT MO
64081-3215
US

V. Phone/Fax

Practice location:
  • Phone: 712-449-8452
  • Fax:
Mailing address:
  • Phone: 712-449-8452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2023032287
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: