Provider Demographics
NPI:1396402822
Name:HAMILTON-WILLS, TYESHA
Entity type:Individual
Prefix:
First Name:TYESHA
Middle Name:
Last Name:HAMILTON-WILLS
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 1:1310 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3504
Mailing Address - Country:US
Mailing Address - Phone:267-596-6314
Mailing Address - Fax:
Practice Address - Street 1:1310 ARCH ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3504
Practice Address - Country:US
Practice Address - Phone:267-596-6314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health