Provider Demographics
NPI:1003588112
Name:HAMPTON, TONQUITA KNOTT (PT)
Entity type:Individual
Prefix:MRS
First Name:TONQUITA
Middle Name:KNOTT
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TONQUITA
Other - Middle Name:KNOTT
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 MONTGOMERY ST APT 803
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3535
Mailing Address - Country:US
Mailing Address - Phone:586-646-0035
Mailing Address - Fax:
Practice Address - Street 1:207 MONTGOMERY ST APT 803
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-3535
Practice Address - Country:US
Practice Address - Phone:586-646-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist