Provider Demographics
NPI:1982895991
Name:COMPERE, TAMMY (ATP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:COMPERE
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 DEMI JOHN BEND RD
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-5942
Mailing Address - Country:US
Mailing Address - Phone:210-336-8130
Mailing Address - Fax:
Practice Address - Street 1:1070 ARION CIR
Practice Address - Street 2:SUITE 164
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2838
Practice Address - Country:US
Practice Address - Phone:210-521-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner