Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominic Desean Williams, RKT

Individual provider Kinesiotherapist · NPI 1114661568

Dominic Desean Williams, RKT is a Kinesiotherapist in Lake City, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X

Record details

NPI number1114661568
Entity typeIndividual (Type 1)
GenderMale
Credentials RKT
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022

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