Provider Demographics
NPI:1851933329
Name:WILLIAMS, ASHLEI MONIQUE (PTA)
Entity Type:Individual
Prefix:
First Name:ASHLEI
Middle Name:MONIQUE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 JACKSON DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2347
Mailing Address - Country:US
Mailing Address - Phone:901-351-9780
Mailing Address - Fax:
Practice Address - Street 1:3310 ASPEN GROVE DR STE 202
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2852
Practice Address - Country:US
Practice Address - Phone:615-224-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7323225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant