Healthcare Provider Details

I. General information

NPI: 1194391789
Provider Name (Legal Business Name): ELIJAH CADE HOOD PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 03/14/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PICKWICK ST
SAVANNAH TN
38372
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 731-984-6202
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax: 423-933-1996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7101
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13925
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: