Individual
JOHN S HAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 526-2934
Mailing address
PO BOX 134, PINE KNOT, KY 42635-0134
(606) 354-3403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4007
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4007
STATE LICENSE NUMBER
KY
Enumeration date
07/24/2009
Last updated
07/24/2009
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