Individual
MR. TIMOTHY R. WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
601 SW CORPORATE VW, SUITE 220, TOPEKA, KS 66615-1244
(785) 228-6100
(785) 228-6101
Mailing address
601 SW CORPORATE VW, SUITE 220, TOPEKA, KS 66615-1244
(785) 228-6100
(785) 228-6101
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110417002
MEDICARE PTAN
KS
Enumeration date
10/02/2006
Last updated
08/25/2011
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