Provider Demographics
NPI:1225572027
Name:HYLAND, DILLON (ATC)
Entity type:Individual
Prefix:
First Name:DILLON
Middle Name:
Last Name:HYLAND
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 N SUNFLOWER DR APT 48
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1493
Mailing Address - Country:US
Mailing Address - Phone:603-325-2702
Mailing Address - Fax:
Practice Address - Street 1:240 N SUNFLOWER DR APT 48
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-1493
Practice Address - Country:US
Practice Address - Phone:603-325-2702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9520131-48102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer