Individual provider · Type 1 NPI
Renisha Williams, LMT/COSMETOLOGIST
Prosthetic/Orthotic Supplier · Tempe, AZ
Practice location
2747 W Southern Ave, Ste. 7
Tempe, AZ 85282-4249
Mailing address
2747 W Southern Ave Ste 7
Tempe, AZ 85282-4240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT-03688P (AZ) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 19400823 (AZ) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Another provider at this address
About NPI 1174823082
Renisha Williams, LMT/COSMETOLOGIST's National Provider Identifier is 1174823082, issued on Oct 26, 2010. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tempe, AZ. The record was last updated on Jun 22, 2026.