MEDICARE: TAMMY MYERS

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	225500000X	Respiratory/Developmental/Rehabilitative Specialist/Technologist

General Provider Information

NPI Number	:	1780470344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY MYERS

Provider Business Mailing Address
First Line	:	11110 MEDICAL CAMPUS RD STE 150
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6755
Country	:	US
Telephone Number	:	301-665-4825
Fax Number	:	301-665-4826

Provider Business Practice Location Address
First Line	:	11110 MEDICAL CAMPUS RD STE 150
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6755
Country	:	US
Telephone Number	:	301-665-4825
Fax Number	:	301-730-2538

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

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	04/18/2025

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Directions to “ TAMMY MYERS ” Practice Location

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