Provider Demographics
NPI:1275955023
Name:WILLIAMS, DAYSHA JANE (RMT)
Entity Type:Individual
Prefix:
First Name:DAYSHA
Middle Name:JANE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6661 S RACE CIR W
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2730
Mailing Address - Country:US
Mailing Address - Phone:303-931-1805
Mailing Address - Fax:
Practice Address - Street 1:6661 S RACE CIR W
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2730
Practice Address - Country:US
Practice Address - Phone:303-931-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0011601174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist