Provider Demographics
NPI:1588057418
Name:HAMMETT, BENJAMIN FREDRICK (PT)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:FREDRICK
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32435-4903
Mailing Address - Country:US
Mailing Address - Phone:850-892-1089
Mailing Address - Fax:
Practice Address - Street 1:785 S 2ND ST
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32435-4903
Practice Address - Country:US
Practice Address - Phone:850-892-1089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC76792251X0800X
FL269642251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic