Provider Demographics
NPI:1871318212
Name:HAMMANS, COLTON
Entity type:Individual
Prefix:
First Name:COLTON
Middle Name:
Last Name:HAMMANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 OLD AIRPORT RD APT 4216
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3679
Mailing Address - Country:US
Mailing Address - Phone:661-699-6699
Mailing Address - Fax:
Practice Address - Street 1:777 LOWNDES HILL RD STE 227
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2157
Practice Address - Country:US
Practice Address - Phone:864-263-4801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12323225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist