Individual
MICHELE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
115 SKYLINE DR STE A, RUSSELLVILLE, AR 72802-3310
(479) 967-5155
(479) 967-5141
Mailing address
115 SKYLINE DR STE A, RUSSELLVILLE, AR 72802-3310
(479) 967-5155
(479) 967-5141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2560
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X455
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/20/2006
Last updated
02/28/2008
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