Provider Demographics
NPI:1710062054
Name:SWISHER - KAMPHAUS, TAMARA C (PT)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:C
Last Name:SWISHER - KAMPHAUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 MOSSVINE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7954
Mailing Address - Country:US
Mailing Address - Phone:972-386-7942
Mailing Address - Fax:
Practice Address - Street 1:2035 PROMENADE CTR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5437
Practice Address - Country:US
Practice Address - Phone:972-437-2048
Practice Address - Fax:972-480-8514
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist