Williams, Michelle Tyler
Williams, Michelle Tyler is an individual health care provider with primary practice located at 24569 Route 6 Ste C , Towanda PA 18848-8254. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Williams, Michelle Tyler can be contacted via phone (570) 265-7688.Contact Information
Primary practice address
24569 Route 6 Ste C
Towanda PA 18848-8254
Phone: (570) 265-7688
Fax: (570) 265-7422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | DAPT000033 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered | 227900000X | RT003029 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT015379 | Pennsylvania |
Profile Details
| NPI number | 1225067754 |
|---|---|
| LBN Legal business name | Williams, Michelle Tyler |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225067754 | NPPES |
| Pennsylvania | Other | PT015379 | STATE LICENSE |
| Pennsylvania | Other | 817151 | STATE LICENSE |
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