Provider Demographics
NPI:1477720399
Name:WILLIAMS, ASHLEY DAWN (MOTR/L)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:DAWN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:DAWN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:PO BOX 3593
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-3593
Mailing Address - Country:US
Mailing Address - Phone:406-750-4567
Mailing Address - Fax:
Practice Address - Street 1:2509 7TH AVE S STE C4
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-3031
Practice Address - Country:US
Practice Address - Phone:406-216-5995
Practice Address - Fax:406-216-5935
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1010225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist