Provider Demographics
NPI:1891315099
Name:HAMMETT, JOHN (MPT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 PRESTON CLUB DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6359
Mailing Address - Country:US
Mailing Address - Phone:405-204-8047
Mailing Address - Fax:
Practice Address - Street 1:2909 PRESTON CLUB DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6359
Practice Address - Country:US
Practice Address - Phone:405-204-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1198200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist