Provider Demographics
NPI:1992156236
Name:HOOD, LAUREN LINSEY DAVIS (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:LINSEY DAVIS
Last Name:HOOD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 RIVERSIDE DR STE 440
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8934
Mailing Address - Country:US
Mailing Address - Phone:615-861-8750
Mailing Address - Fax:615-807-2295
Practice Address - Street 1:1054 GREYMONT AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202-2718
Practice Address - Country:US
Practice Address - Phone:601-355-9624
Practice Address - Fax:601-353-6151
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT5957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00529061Medicaid
MSPT5957OtherMS STATE BOARD OF PHYSICAL THERAPY
P01883254OtherMEDICARE RAILDROAD