Provider Demographics
NPI:1831434760
Name:WILLIAMSON, JAMES B (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5750 KRISTY CREEK CV
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-9850
Mailing Address - Country:US
Mailing Address - Phone:901-369-8484
Mailing Address - Fax:901-369-8627
Practice Address - Street 1:5750 KRISTY CREEK CV
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-9850
Practice Address - Country:US
Practice Address - Phone:901-369-8484
Practice Address - Fax:901-369-8627
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X
TN7345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy