MEDICARE: EMILY HOPE HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	ZH462705H	ID

General Provider Information

NPI Number	:	1588393482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY HOPE HILL

Provider Business Mailing Address
First Line	:	2244 W WINTER CAMP DR
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-4974
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2244 W WINTER CAMP DR
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-4974
Country	:	US
Telephone Number	:	208-954-7081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2022
Last Update Date	:	06/07/2022

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Directions to “ EMILY HOPE HILL ” Practice Location

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