Provider Demographics
NPI:1669711586
Name:KILLINGS, JAMIE THOMAS (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:THOMAS
Last Name:KILLINGS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 N ZARAGOZA RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-8027
Mailing Address - Country:US
Mailing Address - Phone:915-855-6466
Mailing Address - Fax:
Practice Address - Street 1:1779 N ZARAGOZA RD
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-8027
Practice Address - Country:US
Practice Address - Phone:915-855-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1227339225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist