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NPI Code Detail

MEDICARE: SYDNEE KILLOUGH

MEDICARE:   SYDNEE  KILLOUGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist305564TX

General Provider Information

NPI Number : 1215860176
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEE KILLOUGH
Provider Business Mailing Address
First Line : 213 LAKE RIDGE DR
Second Line :
City : SEGUIN
State : TX
Zip : 78155-9483
Country : US
Telephone Number : 830-360-0286
Fax Number :
Provider Business Practice Location Address
First Line : 2009 S WALNUT AVE STE 103
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-2364
Country : US
Telephone Number : 830-507-1285
Fax Number : 512-367-5753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ SYDNEE KILLOUGH ” Practice Location

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