Provider Demographics
NPI:1447921135
Name:BILLINGS, TAYLOR TODD (DPT)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:TODD
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7510 STATE LINE RD STE A
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3400
Mailing Address - Country:US
Mailing Address - Phone:913-291-2290
Mailing Address - Fax:913-291-2449
Practice Address - Street 1:7510 STATE LINE RD STE A
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3400
Practice Address - Country:US
Practice Address - Phone:913-291-2290
Practice Address - Fax:913-291-2449
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist