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NPI Code Detail

MEDICARE: MRS. ELIZABETH KAY WILLIAMS PT, MS

MEDICARE: MRS. ELIZABETH KAY WILLIAMS PT, MS
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
1225100000XPhysical Therapist1063410TX

General Provider Information

NPI Number : 1538166913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH KAY WILLIAMS PT, MS
Provider Business Mailing Address
First Line : 3604 SPRINGMONT DR
Second Line :
City : MIDLAND
State : TX
Zip : 79707-4113
Country : US
Telephone Number : 432-262-3653
Fax Number : 432-685-6937
Provider Business Practice Location Address
First Line : 2200 W ILLINOIS AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6407
Country : US
Telephone Number : 432-685-1606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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