Provider Demographics
NPI:1336631019
Name:WILLIAMS, MAEVE C (DPT)
Entity Type:Individual
Prefix:
First Name:MAEVE
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MAEVE
Other - Middle Name:C
Other - Last Name:THOMASSIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:10268 W CENTENNIAL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6423
Mailing Address - Country:US
Mailing Address - Phone:303-948-2999
Mailing Address - Fax:303-948-8667
Practice Address - Street 1:10268 W CENTENNIAL RD STE 101
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6423
Practice Address - Country:US
Practice Address - Phone:303-948-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09967225100000X
CO16899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA09967OtherLICENSE