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Todd Killingsworth, AT

Specialist/Technologist, Athletic Trainer in Dothan, AL. Individual provider (NPI-1).

NPI number1407072002
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407072002
Entity type
Individual (NPI-1)
Name
Todd Killingsworth
Credential
AT
Sex
Male
Sole proprietor
No
Enumeration date
Apr 18, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer354ALYes

Practice location

4300 W Main St
Suite 14
Dothan, AL 36305-1054

Phone 334-793-2663 · Fax 334-836-2247

Mailing address

Po Box 729
Dothan, AL 36302-0729

Phone 334-793-2663 · Fax 334-836-2247

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