Provider Demographics
NPI:1083804413
Name:HAND, TARYN ELAINE (PT)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:ELAINE
Last Name:HAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:
Other - Last Name:LILLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:793 SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2222
Mailing Address - Country:US
Mailing Address - Phone:470-644-0167
Mailing Address - Fax:770-563-0740
Practice Address - Street 1:148 BILL CARRUTH PARKWAY
Practice Address - Street 2:SUITE 160
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3756
Practice Address - Country:US
Practice Address - Phone:470-956-8990
Practice Address - Fax:770-443-7590
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist