MEDICARE: HEATHER A WILLIAMS PT

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
1	225100000X	Physical Therapist	7747	TN

General Provider Information

NPI Number	:	1346509312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER A WILLIAMS PT

Provider Business Mailing Address
First Line	:	PO BOX 681478
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-1478
Country	:	US
Telephone Number	:	615-591-6590
Fax Number	:	615-591-6601

Provider Business Practice Location Address
First Line	:	932 S BROADWAY ST
Second Line	:	SUITE 1
City	:	PORTLAND
State	:	TN
Zip	:	37148-1651
Country	:	US
Telephone Number	:	615-323-7575
Fax Number	:	615-323-0677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	05/11/2012

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Directions to “ HEATHER A WILLIAMS PT” Practice Location

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