Individual
TIERA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2310 N 400 E STE B, NORTH LOGAN, UT 84341-1799
(435) 787-9030
Mailing address
724 N 100 W, TREMONTON, UT 84337-1003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9062733-2402
UT
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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