Provider Demographics
NPI:1124341532
Name:HILLIARD, WILLIAM BOYD (PT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BOYD
Last Name:HILLIARD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 CALICO CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7645
Mailing Address - Country:US
Mailing Address - Phone:501-831-6777
Mailing Address - Fax:
Practice Address - Street 1:2701 CALICO CREEK DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7645
Practice Address - Country:US
Practice Address - Phone:501-831-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 1913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist