MEDICARE: ASHLEY KAY WILLIAMS DPT

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	174400000X	Specialist	9453	AZ

General Provider Information

NPI Number	:	1881973782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY KAY WILLIAMS DPT

Provider Business Mailing Address
First Line	:	7659 E PINNACLE PEAK RD STE 115
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6298
Country	:	US
Telephone Number	:	480-482-7040
Fax Number	:

Provider Business Practice Location Address
First Line	:	7659 E PINNACLE PEAK RD STE 115
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6298
Country	:	US
Telephone Number	:	480-482-7040
Fax Number	:

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

Provider Enumeration Date	:	08/09/2011
Last Update Date	:	09/09/2020

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