Provider Demographics
NPI:1538406327
Name:HAMMONDS, MEGAN (ATC)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OLD DOMINION UNIVERSITY
Mailing Address - Street 2:JIM JARRETT ATHLETIC ADMINISTRATION BUILDING
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23529-0201
Mailing Address - Country:US
Mailing Address - Phone:757-683-6811
Mailing Address - Fax:757-683-5445
Practice Address - Street 1:OLD DOMINION UNIVERSITY
Practice Address - Street 2:JIM JARRETT ATHLETIC ADMINISTRATION BUILDING
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23529-0201
Practice Address - Country:US
Practice Address - Phone:757-683-6811
Practice Address - Fax:757-683-5445
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01260019182255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer