Provider Demographics
NPI:1194514679
Name:HOOKER, ASHLEY YVETTE (LMBT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:YVETTE
Last Name:HOOKER
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2954 COLON RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-9580
Mailing Address - Country:US
Mailing Address - Phone:919-895-8759
Mailing Address - Fax:919-895-8759
Practice Address - Street 1:707 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4108
Practice Address - Country:US
Practice Address - Phone:919-292-1997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21051225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist