MEDICARE: DR. REBECCA SUE WILLIAMS PT, DPT, MBA

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	5501010688	MI

General Provider Information

NPI Number	:	1730344946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA SUE WILLIAMS PT, DPT, MBA

Provider Business Mailing Address
First Line	:	5253 WILHELM RD NW
Second Line	:
City	:	RAPID CITY
State	:	MI
Zip	:	49676-9518
Country	:	US
Telephone Number	:	231-590-9103
Fax Number	:

Provider Business Practice Location Address
First Line	:	5253 WILHELM RD NW
Second Line	:
City	:	RAPID CITY
State	:	MI
Zip	:	49676-9518
Country	:	US
Telephone Number	:	231-590-9103
Fax Number	:

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

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	09/13/2024

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