Provider Demographics
NPI:1851372841
Name:WILLIAMS, JULIE RUTHANN (PT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:RUTHANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8537 ASHEVILLE HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-4124
Mailing Address - Country:US
Mailing Address - Phone:865-225-7300
Mailing Address - Fax:865-225-7301
Practice Address - Street 1:8537 ASHEVILLE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-4124
Practice Address - Country:US
Practice Address - Phone:865-225-7300
Practice Address - Fax:865-225-7301
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5695225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3645648Medicare ID - Type Unspecified