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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANE JEREMY BILLINGSLEY, DT

Active Sole Proprietor

MR. SHANE JEREMY BILLINGSLEY, DT is a Developmental Therapist healthcare provider located in WESTPORT, Indiana. NPI 1184939837 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · WESTPORT, IN

Registration Details

NPI Number
1184939837
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2010 (15.955180434233 yrs)
Last Updated
Aug 18, 2010
Sole Proprietor
Yes

Practice Information

Address
604 N CARROLL ST
WESTPORT, IN, 472839787
Browse IN providers · Browse ZIP 47283
Phone
8125935453
Fax
8123464232
Primary Specialty
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.