Individual
MRS. HOLLY JOY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 KIANA CT, C/O BAPTIST REHAB CENTER, PADUCAH, KY 42001-6787
(270) 534-1200
Mailing address
67 BARRINGTON CIR, PADUCAH, KY 42003-8895
(270) 534-4470
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
KY-1306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447930
ABMP(ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
CO
01
—
4880660-4701
STAT E OF UTAH DEPARTMENT OF COMMERCE
UT
01
—
KY-1306
KY BOARD OF LICENSURE FOR MASSAGE THERAPISTS
KY
Enumeration date
11/11/2010
Last updated
11/11/2010
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