Provider Demographics
NPI:1629746334
Name:HAMMOND, TAMMY (LMT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 HICKORY TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5601
Mailing Address - Country:US
Mailing Address - Phone:615-239-9669
Mailing Address - Fax:
Practice Address - Street 1:2148 BANDYWOOD DR STE 111
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2703
Practice Address - Country:US
Practice Address - Phone:615-813-4218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11000225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist