Healthcare Provider Details

I. General information

NPI: 1881502201
Provider Name (Legal Business Name): BRECKYN ANN WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 E CRAWFORD ST
SALINA KS
67401-5113
US

IV. Provider business mailing address

218 N ASH ST
STOCKTON KS
67669-1634
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-2323
  • Fax:
Mailing address:
  • Phone: 785-825-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14-04435
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: