Provider Demographics
NPI:1285843797
Name:LOFTIS, TAMMY RHEA (PT)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:RHEA
Last Name:LOFTIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3152 PARAN RD
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-7334
Mailing Address - Country:US
Mailing Address - Phone:931-537-6125
Mailing Address - Fax:
Practice Address - Street 1:508 MOSE DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1211
Practice Address - Country:US
Practice Address - Phone:931-738-9430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist