Individual
MISS STACEY LAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3658 BELL ROAD, NASHVILLE, TN 37214
(615) 230-9626
Mailing address
1975 LOGUE RD, MOUNT JULIET, TN 37122
(615) 449-3670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
733
LICENSE #
TN
Enumeration date
08/30/2006
Last updated
07/08/2007
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