Provider Demographics
NPI:1982888970
Name:HOOPER, AMANDA L (RDMS)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:L
Last Name:HOOPER
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5750 LAKE RESORT DR
Mailing Address - Street 2:B105
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-7037
Mailing Address - Country:US
Mailing Address - Phone:706-483-4504
Mailing Address - Fax:
Practice Address - Street 1:5750 LAKE RESORT DR
Practice Address - Street 2:B105
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-7037
Practice Address - Country:US
Practice Address - Phone:706-483-4504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
989432471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography