Provider Demographics
NPI:1669194627
Name:BILLINGS, BRIENNE NICOLE (CPTA)
Entity type:Individual
Prefix:
First Name:BRIENNE
Middle Name:NICOLE
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:CPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14000 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:KS
Mailing Address - Zip Code:66073-4046
Mailing Address - Country:US
Mailing Address - Phone:785-393-8908
Mailing Address - Fax:
Practice Address - Street 1:1305 WAKARUSA DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3830
Practice Address - Country:US
Practice Address - Phone:785-842-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant