Individual
NATHAN TAYLOR WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4277 STERLING AVE, RAYTOWN, MO 64133-1351
(816) 356-3018
(816) 358-5830
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021038879
MO
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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