Provider Demographics
NPI:1881973782
Name:WILLIAMS, ASHLEY KAY (DPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:KAY
Other - Last Name:SURGENOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7659 E PINNACLE PEAK RD STE 115
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6298
Mailing Address - Country:US
Mailing Address - Phone:480-482-7040
Mailing Address - Fax:
Practice Address - Street 1:7659 E PINNACLE PEAK RD STE 115
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6298
Practice Address - Country:US
Practice Address - Phone:480-482-7040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9453174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist