Provider Demographics
NPI:1992382154
Name:BYMAN, TISHA
Entity type:Individual
Prefix:
First Name:TISHA
Middle Name:
Last Name:BYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 ANDERSON CIR
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-7800
Mailing Address - Country:US
Mailing Address - Phone:904-762-3485
Mailing Address - Fax:
Practice Address - Street 1:43 ANDERSON CIR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-7800
Practice Address - Country:US
Practice Address - Phone:904-762-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter