Provider Demographics
NPI:1356711667
Name:HAMMONS, JAIME (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:HAMMONS
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 JAMESTOWN DR
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7104
Mailing Address - Country:US
Mailing Address - Phone:501-278-6437
Mailing Address - Fax:
Practice Address - Street 1:34 JAMESTOWN DR
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7104
Practice Address - Country:US
Practice Address - Phone:501-278-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist