Healthcare Provider Details

I. General information

NPI: 1982283792
Provider Name (Legal Business Name): MELANIE HOOD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 E MUIRWOOD DR STE 110
PHOENIX AZ
85048-7693
US

IV. Provider business mailing address

4530 E MUIRWOOD DR STE 110
PHOENIX AZ
85048-7693
US

V. Phone/Fax

Practice location:
  • Phone: 480-763-5808
  • Fax: 480-759-0647
Mailing address:
  • Phone: 480-763-5808
  • Fax: 480-759-0647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberLPT-31696
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-31696
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: