Provider Demographics
NPI:1285159905
Name:HILLE, AUSTIN JOHN (CAT)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:JOHN
Last Name:HILLE
Suffix:
Gender:M
Credentials:CAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 LANDIS CT APT 203
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9257
Mailing Address - Country:US
Mailing Address - Phone:954-918-2124
Mailing Address - Fax:
Practice Address - Street 1:400 LANDIS CT. #203
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806
Practice Address - Country:US
Practice Address - Phone:954-918-2124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20000299942081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine