Provider Demographics
NPI:1215732805
Name:HILL, SAMANTHA N (LMT)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:N
Last Name:HILL
Suffix:
Gender:
Credentials:LMT
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:NICOLE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:812 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5126
Mailing Address - Country:US
Mailing Address - Phone:307-429-9005
Mailing Address - Fax:
Practice Address - Street 1:812 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5126
Practice Address - Country:US
Practice Address - Phone:307-429-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist