Individual
HILARY NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Mailing address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(594) 478-5998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007925
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100654580
—
KY
Enumeration date
11/02/2012
Last updated
07/19/2023
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