=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730308859
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RENEE HILL D.P.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2007
-----------------------------------------------------
Last Update Date | 12/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2040 RAYBROOK ST SE STE 200
-----------------------------------------------------
City | GRAND RAPIDS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49546-7718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-386-4260
-----------------------------------------------------
Fax | 616-341-7509
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2040 RAYBROOK ST SE STE 200
-----------------------------------------------------
City | GRAND RAPIDS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49546-7718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-386-4260
-----------------------------------------------------
Fax | 616-341-7509
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 5501004434
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------