Provider Demographics
NPI:1356691927
Name:MCWILLIAMS, DEBRA (RMT,CNMT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:RMT,CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 BIRNAMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7332
Mailing Address - Country:US
Mailing Address - Phone:719-330-2221
Mailing Address - Fax:719-694-8170
Practice Address - Street 1:317 E SAN RAFAEL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2405
Practice Address - Country:US
Practice Address - Phone:719-330-2221
Practice Address - Fax:719-694-8170
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9686174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist