Provider Demographics
NPI:1669635991
Name:HAMPTON, DON AMECHIE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:AMECHIE
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 ADDAX DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-3929
Mailing Address - Country:US
Mailing Address - Phone:210-823-8465
Mailing Address - Fax:
Practice Address - Street 1:9650 DATAPOINT DR
Practice Address - Street 2:SUITE 1111
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2389
Practice Address - Country:US
Practice Address - Phone:210-823-8465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT031415225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist