Provider Demographics
NPI:1689976680
Name:KILLEBREW, TODD CAMERON (ND)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:CAMERON
Last Name:KILLEBREW
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6659 KIMBALL DR STE C306
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5121
Mailing Address - Country:US
Mailing Address - Phone:425-387-7207
Mailing Address - Fax:
Practice Address - Street 1:6659 KIMBALL DR STE C306
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-5121
Practice Address - Country:US
Practice Address - Phone:425-387-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60191976175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath