Provider Demographics
NPI:1790827947
Name:HAMBY, MICHELLE LILLIAN (CRT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LILLIAN
Last Name:HAMBY
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 NE 25TH ST
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-8308
Mailing Address - Country:US
Mailing Address - Phone:754-235-4593
Mailing Address - Fax:
Practice Address - Street 1:2780 NE 25TH ST
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-8308
Practice Address - Country:US
Practice Address - Phone:754-235-4593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT7325227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified