Provider Demographics
NPI:1124154125
Name:HILKER, KATIE M (PT)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:M
Last Name:HILKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:M
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5651 FRIST BLVD STE 712
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2061
Mailing Address - Country:US
Mailing Address - Phone:615-872-9966
Mailing Address - Fax:
Practice Address - Street 1:1113 N CASTLE HEIGHTS AVE
Practice Address - Street 2:SUITE D
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-5640
Practice Address - Country:US
Practice Address - Phone:615-965-9000
Practice Address - Fax:615-965-9001
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027473-1225100000X
TN7869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11528381OtherCAQH PROVIDER ID #
NY11528381OtherCAQH PROVIDER ID #