Individual
JERRY L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
600 YORK ST, MANITOWOC, WI 54220-6845
(920) 320-6750
(920) 682-1981
Mailing address
2300 WESTERN AVE, PO BOX 2170, MANITOWOC, WI 54220-3712
(920) 320-8667
(920) 320-8616
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
1517-024
WI
2251X0800X
Orthopedic Physical Therapist
Primary
1517-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40132800
—
WI
01
—
719078
T19 MANAGED HEALTH SERVIC
WI
Enumeration date
07/06/2006
Last updated
09/11/2025
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