Individual
MRS. TAMMY RENEE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
MILLER R-II, 110 W 6TH ST, MILLER, MO 65707-9248
(417) 452-3515
(417) 452-3264
Mailing address
110 W 6TH ST, MILLER, MO 65707-9248
(417) 452-3515
(417) 452-3264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001007190
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487476202
—
MO
Enumeration date
05/10/2007
Last updated
02/23/2009
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