Provider Demographics
NPI:1245976554
Name:HAMED, SAMMER (LAT, AT)
Entity type:Individual
Prefix:
First Name:SAMMER
Middle Name:
Last Name:HAMED
Suffix:
Gender:M
Credentials:LAT, AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2399 OAKTHORPE DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8111
Mailing Address - Country:US
Mailing Address - Phone:614-929-0463
Mailing Address - Fax:
Practice Address - Street 1:180 CENTER ST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1582
Practice Address - Country:US
Practice Address - Phone:614-823-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0064622255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer