Provider Demographics
NPI:1598573982
Name:HAMMACK, SAVANNAH SUMMERS (PT, DPT)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:SUMMERS
Last Name:HAMMACK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LONGHORN TRL
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:GA
Mailing Address - Zip Code:31069-8338
Mailing Address - Country:US
Mailing Address - Phone:706-669-7266
Mailing Address - Fax:
Practice Address - Street 1:120 LATHAM DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2146
Practice Address - Country:US
Practice Address - Phone:478-887-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT013978225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist