Renisha Williams, LMT/COSMETOLOGIST is a
Prosthetic/orthotic Supplier based in Tempe, Arizona. Renisha Williams is licensed to practice in Arizona (license number 19400823) and her current practice location is
2747 W Southern Ave, Ste. 7, Tempe, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 437-3772.
NPI number for Renisha Williams is 1174823082 and her current mailing address is 2747 W Southern Ave Ste 7, Tempe, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174823082.
Healthcare Provider's Profile
| Full Name | Renisha Williams |
|---|
| Gender | Female |
|---|
| Speciality | Prosthetic/orthotic Supplier |
|---|
| Location | 2747 W Southern Ave, Tempe, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174823082
- Provider Enumeration Date: 10/26/2010
- Last Update Date: 06/22/2026
Medical Identifiers
Medical identifiers for Renisha Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174823082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | MT-03688P (Arizona) | Secondary |
| 335E00000X | Prosthetic/orthotic Supplier | 19400823 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renisha Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Renisha Williams, LMT/COSMETOLOGIST 2747 W Southern Ave Ste 7, Tempe, AZ 85282-4240 Ph: (602) 312-4247 | Renisha Williams, LMT/COSMETOLOGIST 2747 W Southern Ave, Ste. 7, Tempe, AZ 85282-4249 Ph: (602) 437-3772 |
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