Provider Demographics
NPI:1700576568
Name:WILLIAMS, RICKY I (RRT)
Entity Type:Individual
Prefix:MR
First Name:RICKY
Middle Name:
Last Name:WILLIAMS
Suffix:I
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 OLD CHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-6008
Mailing Address - Country:US
Mailing Address - Phone:240-460-8520
Mailing Address - Fax:
Practice Address - Street 1:7410 OLD CHAPEL DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-6008
Practice Address - Country:US
Practice Address - Phone:240-460-8520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL00028192278E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducational