Provider Demographics
NPI:1700155009
Name:WILLIAMS, KERRI ANNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:ANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LITTLE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-6058
Mailing Address - Country:US
Mailing Address - Phone:256-301-1459
Mailing Address - Fax:
Practice Address - Street 1:150 LITTLE CREEK CIR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-6058
Practice Address - Country:US
Practice Address - Phone:256-301-1459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist