Basic Information
Provider Information
NPI: 1891121331
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: ALAINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: OTTO
OtherFirstName: ALAINA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PT
OtherLastNameType: 1
Mailing Information
Address1: 615 LILLY RD NE STE 240
Address2:  
City: OLYMPIA
State: WA
PostalCode: 985065117
CountryCode: US
TelephoneNumber: 3604133850
FaxNumber: 3603594726
Practice Location
Address1: 615 LILLY RD NE STE 240
Address2:  
City: OLYMPIA
State: WA
PostalCode: 98506
CountryCode: US
TelephoneNumber: 3604133850
FaxNumber: 3603594726
Other Information
ProviderEnumerationDate: 09/16/2013
LastUpdateDate: 05/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X9060MNN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPTH6705ALN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X1655SDN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X006213KYN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT60497085WAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT 60497085WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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