Provider Demographics
NPI:1972807782
Name:BILLITER-LINDSEY, TONYA SUE (LMT)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:SUE
Last Name:BILLITER-LINDSEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 STATE ROUTE 138 W
Mailing Address - Street 2:
Mailing Address - City:RUMSEY
Mailing Address - State:KY
Mailing Address - Zip Code:42371-9703
Mailing Address - Country:US
Mailing Address - Phone:270-499-1634
Mailing Address - Fax:
Practice Address - Street 1:340 STATE ROUTE 138 W
Practice Address - Street 2:
Practice Address - City:RUMSEY
Practice Address - State:KY
Practice Address - Zip Code:42371-9703
Practice Address - Country:US
Practice Address - Phone:270-925-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1620225700000X
KY277648101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist