Stephen Kimo Williams, CMT is a
Massage Therapist based in Toluca Lake, California. Stephen Kimo Williams is licensed to practice in California (license number 19815) and his current practice location is
10116 Riverside Dr Ste 300, Toluca Lake, California. He can be reached at his office (for appointments etc.) via phone at
(818) 427-9919.
NPI number for Stephen Kimo Williams is 1942987672 and his current mailing address is 10116 Riverside Dr Ste 300, Toluca Lake, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942987672.
Healthcare Provider's Profile
| Full Name | Stephen Kimo Williams |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 10116 Riverside Dr Ste 300, Toluca Lake, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942987672
- Provider Enumeration Date: 07/04/2023
- Last Update Date: 07/04/2023
Medical Identifiers
Medical identifiers for Stephen Kimo Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942987672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 19815 (California) | 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. Stephen Kimo 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 |
|---|
Stephen Kimo Williams, CMT
10116 Riverside Dr Ste 300,
Toluca Lake, CA 91602-2544
Ph: Not Available | Stephen Kimo Williams, CMT
10116 Riverside Dr Ste 300,
Toluca Lake, CA 91602-2544
Ph: (818) 427-9919 |
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