Provider Demographics
NPI:1417910894
Name:HANKINS, AMANDA MICHELLE (ATC/L)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MICHELLE
Last Name:HANKINS
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 BELLEVUE RD
Mailing Address - Street 2:APT. A2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2743
Mailing Address - Country:US
Mailing Address - Phone:870-540-7094
Mailing Address - Fax:
Practice Address - Street 1:865 BELLEVUE RD
Practice Address - Street 2:APT A2
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2743
Practice Address - Country:US
Practice Address - Phone:870-540-7094
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9872255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer