Provider Demographics
NPI:1710209242
Name:WILLIAMS, CURTIS (ATC)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 SE HAMPDEN RD
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-7313
Mailing Address - Country:US
Mailing Address - Phone:918-397-3603
Mailing Address - Fax:918-335-6246
Practice Address - Street 1:2201 SILVER LAKE ROAD
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-5422
Practice Address - Country:US
Practice Address - Phone:918-335-6200
Practice Address - Fax:918-335-6246
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKAT2372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer