Provider Demographics
NPI:1336571041
Name:WILLIAMS, ROBERT JOSEPH (DPT)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10298 EVE SPRINGS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-6507
Mailing Address - Country:US
Mailing Address - Phone:702-497-9777
Mailing Address - Fax:
Practice Address - Street 1:9080 W CHEYENNE AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8936
Practice Address - Country:US
Practice Address - Phone:702-880-1515
Practice Address - Fax:702-880-1511
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist