Provider Demographics
NPI:1154416576
Name:HOOD, HAYLEY AUTUMN (OT)
Entity type:Individual
Prefix:MRS
First Name:HAYLEY
Middle Name:AUTUMN
Last Name:HOOD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:HAYLEY
Other - Middle Name:AUTUMN
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 JEREMY DRIVE
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918
Mailing Address - Country:US
Mailing Address - Phone:618-985-6520
Mailing Address - Fax:
Practice Address - Street 1:6 EAST SHAWNEE
Practice Address - Street 2:
Practice Address - City:MURPHYSBORO
Practice Address - State:IL
Practice Address - Zip Code:62966
Practice Address - Country:US
Practice Address - Phone:618-684-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist