Individual
TIFFANY HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2020 PAYNE KOEHLER RD, SELLERSBURG, IN 47172-9450
(812) 941-2099
Mailing address
2020 PAYNE KOEHLER RD, SELLERSBURG, IN 47172-9450
(812) 941-2099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000984A
IN
2255A2300X
Athletic Trainer
AT776
KY
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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