Provider Demographics
NPI:1720793912
Name:CULLIPHER, BILLIE ANN (PT)
Entity type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:ANN
Last Name:CULLIPHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4656 RIDGEGLEN RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4135
Mailing Address - Country:US
Mailing Address - Phone:719-244-7863
Mailing Address - Fax:
Practice Address - Street 1:110 W VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6713
Practice Address - Country:US
Practice Address - Phone:719-475-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist