Provider Demographics
NPI:1154802171
Name:NEELEY, HILLARY LEAH (OTR)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:LEAH
Last Name:NEELEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:HILLARY
Other - Middle Name:LEAH
Other - Last Name:RAGSDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:507 E W M WATSON BLVD
Mailing Address - Street 2:
Mailing Address - City:DAINGERFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75638-2013
Mailing Address - Country:US
Mailing Address - Phone:903-645-3719
Mailing Address - Fax:
Practice Address - Street 1:507 E W M WATSON BLVD
Practice Address - Street 2:
Practice Address - City:DAINGERFIELD
Practice Address - State:TX
Practice Address - Zip Code:75638-2013
Practice Address - Country:US
Practice Address - Phone:903-645-3719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116347225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist