Whitney Marie Billingsley, LMP

Individual provider Active NPI Contractor · Walla Walla, WA

NPI 1346599008 · NPPES record last updated Sep 9, 2012

Key facts

NPI
1346599008
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
MA 00024247 (WA)
Practice address
828 S 2ND Ave
Walla Walla, WA 99362-4059
Phone
(509) 522-5388
NPI assigned
Sep 9, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA 00024247WAMDContractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA 00024247 WA Yes

Addresses

Primary practice location

828 S 2ND Ave
Walla Walla, WA 99362-4059

Mailing address

1115 SE Colonial Dr
College Place, WA 99324-1803
Phone (208) 899-1929

Other identifiers

IdentifierTypeStateIssuer
MA 00024247OtherWAWASHINGTON STATE MASSAGE PRACTITIONER LICENSE

Other names

  • Whitney Marie Scott Former name

Other providers in Walla Walla, WA

All providers in Walla Walla, WA · Contractor in Washington

Sources for this page

Verify at the official NPI Registry.