Provider Demographics
NPI:1588543987
Name:HAMBY, BENITA FAYE (LMT)
Entity type:Individual
Prefix:
First Name:BENITA
Middle Name:FAYE
Last Name:HAMBY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HILLSIDE LN
Mailing Address - Street 2:
Mailing Address - City:CRAB ORCHARD
Mailing Address - State:TN
Mailing Address - Zip Code:37723-1743
Mailing Address - Country:US
Mailing Address - Phone:865-591-2710
Mailing Address - Fax:
Practice Address - Street 1:57 PRESLEY DRIVE
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38571
Practice Address - Country:US
Practice Address - Phone:865-591-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13496225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist