Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | TN |
NPI | 1467857243 |
---|---|
Provider Name | Tammy Kim Almond |
First Address | Johnson City, TN 37601 |
Second Address | Johnson City, TN 37601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2014 |
Last Update Date | 23/10/2014 |