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Jason Williams, PTA, NSCA-CPT
NPI 1588936363 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4215 Landing Dr
2c
Aurora, IL 60504 - Phone
- (224) 688-4040
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 174400000X
- Licence states on file
- CO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois