Provider Demographics
NPI:1497966519
Name:HAMILTON, DEANNA MICHELLE (CRT)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:MICHELLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
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Mailing Address - Street 1:124 CHAMBERS PT APT B
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7585
Mailing Address - Country:US
Mailing Address - Phone:501-276-3980
Mailing Address - Fax:501-781-2234
Practice Address - Street 1:190 AVIATION PLZ
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-5529
Practice Address - Country:US
Practice Address - Phone:501-525-2770
Practice Address - Fax:501-781-2234
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08972278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0897OtherRESPIRATORY THERAPY LICEN