Provider Demographics
NPI:1093981185
Name:STONE, TAMMI A (PT)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:A
Last Name:STONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TAMMI
Other - Middle Name:ANDERSEN
Other - Last Name:SKILLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:16321 OLCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-1518
Mailing Address - Country:US
Mailing Address - Phone:630-248-0827
Mailing Address - Fax:708-429-3759
Practice Address - Street 1:16321 OLCOTT AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1518
Practice Address - Country:US
Practice Address - Phone:630-248-0827
Practice Address - Fax:708-429-3759
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-005214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist