Provider Demographics
NPI:1538419130
Name:HAMMONDS, KALI (PTA)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 W CHAPMAN DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-9077
Mailing Address - Country:US
Mailing Address - Phone:940-458-2611
Mailing Address - Fax:940-458-2619
Practice Address - Street 1:1650 W CHAPMAN DR
Practice Address - Street 2:SUITE 400
Practice Address - City:SANGER
Practice Address - State:TX
Practice Address - Zip Code:76266-9077
Practice Address - Country:US
Practice Address - Phone:940-458-2611
Practice Address - Fax:940-458-2619
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2070789225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant