Provider Demographics
NPI:1043486012
Name:HINSON, TAWNY JEAN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:TAWNY
Middle Name:JEAN
Last Name:HINSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:TAWNY
Other - Middle Name:JEAN
Other - Last Name:WOODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:916 SW 38TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7005
Mailing Address - Country:US
Mailing Address - Phone:580-353-1490
Mailing Address - Fax:580-250-2651
Practice Address - Street 1:916 SW 38TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-7005
Practice Address - Country:US
Practice Address - Phone:580-353-1490
Practice Address - Fax:580-250-2651
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist