Provider Demographics
NPI:1467857243
Name:ALMOND, TAMMY KIM
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:KIM
Last Name:ALMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BROYLES DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601
Mailing Address - Country:US
Mailing Address - Phone:423-929-2321
Mailing Address - Fax:423-926-0644
Practice Address - Street 1:109 BROYLES DR
Practice Address - Street 2:SUITE A
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601
Practice Address - Country:US
Practice Address - Phone:423-929-2321
Practice Address - Fax:423-926-0644
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist