Provider Demographics
NPI:1982362109
Name:WILLIAMS, ALEXIS RYANNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:RYANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 N SHERMAN ST APT 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2801
Mailing Address - Country:US
Mailing Address - Phone:513-805-1339
Mailing Address - Fax:
Practice Address - Street 1:3131 S VAUGHN WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3511
Practice Address - Country:US
Practice Address - Phone:303-755-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist