Provider Demographics
NPI:1508503608
Name:WILLIAMS, ASHLEY (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:DAHLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8947 AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:ALBORN
Mailing Address - State:MN
Mailing Address - Zip Code:55702-8212
Mailing Address - Country:US
Mailing Address - Phone:218-206-6644
Mailing Address - Fax:
Practice Address - Street 1:8947 AUSTIN RD
Practice Address - Street 2:
Practice Address - City:ALBORN
Practice Address - State:MN
Practice Address - Zip Code:55702-8212
Practice Address - Country:US
Practice Address - Phone:218-206-6644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11045225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist