Provider Demographics
NPI:1982786422
Name:HALLMAN, JERRI BETH (PTA)
Entity Type:Individual
Prefix:
First Name:JERRI
Middle Name:BETH
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 FIELD MOUNT RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:SC
Mailing Address - Zip Code:29061-9053
Mailing Address - Country:US
Mailing Address - Phone:803-622-6313
Mailing Address - Fax:
Practice Address - Street 1:136 FIELD MOUNT RD
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:SC
Practice Address - Zip Code:29061-9053
Practice Address - Country:US
Practice Address - Phone:803-622-6313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2016-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1762225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant