Individual provider · Type 1 NPI

Dominique Latavia Williams, PTA

Physical Therapy Assistant · Ridgeland, MS

NPI number 1851239404 Active

Practice location

305 Woodrun Dr
Ridgeland, MS 39157-2504

Call (601) 940-5906 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA8124 (MS)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1851239404

Dominique Latavia Williams, PTA's National Provider Identifier is 1851239404, issued on Mar 24, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ridgeland, MS. The record was last updated on Mar 24, 2026.