Provider Demographics
NPI:1497147540
Name:HOOKEY, ELISE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:HOOKEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:MARIE
Other - Last Name:SHANKWEILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2638 TABLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-8670
Mailing Address - Country:US
Mailing Address - Phone:310-408-3290
Mailing Address - Fax:866-655-2571
Practice Address - Street 1:4606 MOOREFIELD MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-9065
Practice Address - Country:US
Practice Address - Phone:310-408-3290
Practice Address - Fax:866-655-2571
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8138225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist