NPI 1407072002

Todd Killingsworth, AT

Practitioner Athletic Trainer Dothan, AL

Practice location

Address: 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

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 354 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1407072002
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.