Michael Wayne Hilliard, ATC
Specialist/Technologist, Athletic Trainer in Moorhead, MN. Individual provider (NPI-1).
NPI number1972019727
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1972019727
- Entity type
- Individual (NPI-1)
- Name
- Michael Wayne Hilliard
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2017
- Last updated
- Mar 14, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2826 | MN | Yes |
Practice location
649 17th St SMoorhead, MN 56560
Phone 360-751-9904
Mailing address
649 17th St SMoorhead, MN 56560
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Moorhead, MN
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- Anna Jean Bratsch, ATCNPI 1366583593
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- Sarah DruschNPI 1942697156
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All 23 Athletic Trainer providers in Moorhead · All 1,308 providers in Moorhead
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