Provider Demographics
NPI:1396410072
Name:RHYS- WILLIAMS, KIRSTY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KIRSTY
Middle Name:ANN
Last Name:RHYS- WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WATERTREE CT
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2636
Mailing Address - Country:US
Mailing Address - Phone:281-356-7580
Mailing Address - Fax:
Practice Address - Street 1:42 WATERTREE CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2636
Practice Address - Country:US
Practice Address - Phone:281-728-8578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7332OtherTEXAS CHIROPRACTIC BOARD