Provider Demographics
NPI:1326253741
Name:WILLIAMS, JAN HARTING (PT, DPT, NCS)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:HARTING
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14010 W AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5311
Mailing Address - Country:US
Mailing Address - Phone:314-494-1494
Mailing Address - Fax:
Practice Address - Street 1:7120 E ORCHARD RD STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1732
Practice Address - Country:US
Practice Address - Phone:303-850-7717
Practice Address - Fax:303-850-7517
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1040152251N0400X
CO52422251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology