Provider Demographics
NPI:1750019667
Name:HOOKS, ALIYAH (RD, LDN)
Entity type:Individual
Prefix:MISS
First Name:ALIYAH
Middle Name:
Last Name:HOOKS
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BENTON ST
Mailing Address - Street 2:
Mailing Address - City:NETTLETON
Mailing Address - State:MS
Mailing Address - Zip Code:38858-6066
Mailing Address - Country:US
Mailing Address - Phone:662-297-6318
Mailing Address - Fax:
Practice Address - Street 1:2610 TRACELAND DR STE A
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4226
Practice Address - Country:US
Practice Address - Phone:662-260-4708
Practice Address - Fax:662-260-4860
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD2302133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered