Provider Demographics
NPI:1154784916
Name:HAMMER, ALYSHA LEANNE (CSFA)
Entity type:Individual
Prefix:MRS
First Name:ALYSHA
Middle Name:LEANNE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 FREY AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1174
Mailing Address - Country:US
Mailing Address - Phone:570-428-5433
Mailing Address - Fax:570-320-7576
Practice Address - Street 1:1951 FREY AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1174
Practice Address - Country:US
Practice Address - Phone:570-428-5433
Practice Address - Fax:570-320-7576
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA165219246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant