Provider Demographics
NPI:1801956461
Name:HOOD, JENNIFER AKIN (MPT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:AKIN
Last Name:HOOD
Suffix:
Gender:
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 SPRING BRANCH SPUR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-7505
Mailing Address - Country:US
Mailing Address - Phone:706-437-1385
Mailing Address - Fax:
Practice Address - Street 1:114 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-5446
Practice Address - Country:US
Practice Address - Phone:706-466-7006
Practice Address - Fax:706-466-7006
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT007306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA059782515AMedicaid
GA059782515DMedicaid
GA059782515BMedicaid
GA059782515CMedicaid