Provider Demographics
NPI:1487628947
Name:BILLINGS, SETH D (ATC)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:D
Last Name:BILLINGS
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:PO BOX 4515
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37044-0001
Mailing Address - Country:US
Mailing Address - Phone:931-221-6435
Mailing Address - Fax:931-221-1365
Practice Address - Street 1:601 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37044-0001
Practice Address - Country:US
Practice Address - Phone:931-221-6435
Practice Address - Fax:931-221-1365
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050032942255A2300X
TNAT00000011872255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer