Provider Demographics
NPI:1972621811
Name:WILLIAMS, EMILY K (PT)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13609 CALIFORNIA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-5245
Mailing Address - Country:US
Mailing Address - Phone:800-456-5857
Mailing Address - Fax:877-553-0660
Practice Address - Street 1:300 BLUE RIDGE ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-7261
Practice Address - Country:US
Practice Address - Phone:276-638-8701
Practice Address - Fax:276-638-2017
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist