Provider Demographics
NPI:1891380556
Name:WILLIAMS, SKYLA KARALEE (ATC)
Entity Type:Individual
Prefix:
First Name:SKYLA
Middle Name:KARALEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:SKYLA
Other - Middle Name:KARALEE
Other - Last Name:CLIFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:3701 WHITE OAKS RDG
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-4429
Mailing Address - Country:US
Mailing Address - Phone:806-570-4428
Mailing Address - Fax:
Practice Address - Street 1:270 KILGORE LN
Practice Address - Street 2:UNIVERSITY OF ALABAMA, CAPITOL HALL
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:806-570-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20672255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer