Provider Demographics
NPI:1801659669
Name:DOGWOOD HEALTH & PHYSIO, PLLC
Entity type:Organization
Organization Name:DOGWOOD HEALTH & PHYSIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DPT
Authorized Official - Prefix:
Authorized Official - First Name:TANNER
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-238-5869
Mailing Address - Street 1:10736 ANDERSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-4720
Mailing Address - Country:US
Mailing Address - Phone:434-238-5869
Mailing Address - Fax:
Practice Address - Street 1:10736 ANDERSON MILL RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-4720
Practice Address - Country:US
Practice Address - Phone:434-238-5869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy