Provider Demographics
NPI:1245583988
Name:HOOD, TARAH ANN (LMT)
Entity Type:Individual
Prefix:
First Name:TARAH
Middle Name:ANN
Last Name:HOOD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 331
Mailing Address - Street 2:
Mailing Address - City:HUBBALD
Mailing Address - State:OH
Mailing Address - Zip Code:44925
Mailing Address - Country:US
Mailing Address - Phone:724-815-3720
Mailing Address - Fax:330-534-9739
Practice Address - Street 1:212 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:HUBBALD
Practice Address - State:OH
Practice Address - Zip Code:44925
Practice Address - Country:US
Practice Address - Phone:330-539-9737
Practice Address - Fax:330-534-9739
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.020505-H-K225700000X
PAMSG005321225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist