Provider Demographics
NPI:1427541390
Name:HOOD, MARY LAURA (PT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:LAURA
Last Name:HOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 STERNWHEEL CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-9615
Mailing Address - Country:US
Mailing Address - Phone:270-576-2693
Mailing Address - Fax:
Practice Address - Street 1:1247 STERNWHEEL CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-9615
Practice Address - Country:US
Practice Address - Phone:270-576-2693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist