NPI 1558182758
Alli Willis
Practice location
- Address
- 1107 W Broadway St, Ardmore, OK 73401-2833
- Phone
- (580) 226-5566
- Mailing address
- 1405 4th Ave NW # 296, Ardmore, OK 73401-2708
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1558182758
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Oct 2024
- Record last updated
- 21 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.