Individual
MICHELE LYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1095
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12202900
DEPT OF LABOR PN
MO
01
—
144035
BLUE CROSS BLUE SHIELD
MO
01
—
460774
HEALTHLINK
MO
01
—
64-00300
UNITED HEALTHCARE
MO
01
—
7385154
AETNA
MO
Enumeration date
06/23/2005
Last updated
12/12/2007
Update your record
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