Healthcare Provider Details

I. General information

NPI: 1336652080
Provider Name (Legal Business Name): KRISTIN LEEANN HAMAN ATC, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 FISK AVE
BROWNWOOD TX
76801-2715
US

IV. Provider business mailing address

1803 3RD ST
BROWNWOOD TX
76801-4229
US

V. Phone/Fax

Practice location:
  • Phone: 325-650-6489
  • Fax: 325-650-6489
Mailing address:
  • Phone: 325-650-6489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number6857
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: