Healthcare Provider Details

I. General information

NPI: 1780923573
Provider Name (Legal Business Name): CHRISTIN MICHELLE HILL OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE PEDIATRIC PLACE, LLC 210 SOUTH 2ND STREET, SUITE A
CLINTON MO
64735
US

IV. Provider business mailing address

15316 LOWELL AVE
OVERLAND PARK KS
66223-2765
US

V. Phone/Fax

Practice location:
  • Phone: 660-885-2394
  • Fax: 660-383-1650
Mailing address:
  • Phone: 913-961-6819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2015004736
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: