Provider Demographics
NPI:1588283196
Name:SIMPSON, HILLARY MARIE (DPT)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:MARIE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:M
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 69268
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-9268
Mailing Address - Country:US
Mailing Address - Phone:864-244-3626
Mailing Address - Fax:
Practice Address - Street 1:12498 SE HIGHWAY 116
Practice Address - Street 2:
Practice Address - City:BRAYMER
Practice Address - State:MO
Practice Address - Zip Code:64624-9107
Practice Address - Country:US
Practice Address - Phone:864-244-3626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCP001179T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist