Provider Demographics
NPI:1528346418
Name:HEYLIGER, HILLARY MILLICENT (LMT)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:MILLICENT
Last Name:HEYLIGER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 AVONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7902
Mailing Address - Country:US
Mailing Address - Phone:813-541-4359
Mailing Address - Fax:
Practice Address - Street 1:18964 N DALE MABRY HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4913
Practice Address - Country:US
Practice Address - Phone:813-948-2107
Practice Address - Fax:813-948-2790
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA57663225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist