Individual
ALEXIS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9660 LOTT CARY RD, PROVIDENCE FORGE, VA 23140-2360
(804) 829-7762
Mailing address
9660 LOTT CARY RD, PROVIDENCE FORGE, VA 23140-2360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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