Provider Demographics
NPI:1114774411
Name:HILLYER, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:HILLYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 YANKEE RD LOT 6
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-5334
Mailing Address - Country:US
Mailing Address - Phone:252-305-1176
Mailing Address - Fax:
Practice Address - Street 1:127 S 5TH ST STE 185
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1677
Practice Address - Country:US
Practice Address - Phone:267-509-7717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist