MEDICARE: TAMMY HAMMOND LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	11000	TN

General Provider Information

NPI Number	:	1629746334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY HAMMOND LMT

Provider Business Mailing Address
First Line	:	553 HICKORY TRAIL DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5601
Country	:	US
Telephone Number	:	615-239-9669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2148 BANDYWOOD DR STE 111
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2703
Country	:	US
Telephone Number	:	615-813-4218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

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