Provider Demographics
NPI:1649092420
Name:HAMPTON, VANESSA (LMT, CPT)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LMT, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 BEDFORD CMN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5362
Mailing Address - Country:US
Mailing Address - Phone:615-510-3528
Mailing Address - Fax:
Practice Address - Street 1:1550 N MOUNT JULIET RD STE 118
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3786
Practice Address - Country:US
Practice Address - Phone:615-519-3528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach