Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Davonna Marie Willis, ATC, LMT

Individual provider Athletic Trainer · NPI 1649712019

Mrs. Davonna Marie Willis, ATC, LMT is an Athletic Trainer in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

625 N Gilbert Rd Ste 103
Gilbert, AZ 85234-3398
Phone: (480) 779-0744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-12710 (AZ)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1649712019
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LMT
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016

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