# DEEPER ROOTS PHYSICAL THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023722329
- **Authorized official:** ELISE HOOKEY PT (OWNER)
- **Authorized official phone:** (310) 408-3290

## Contact information

- **Practice address:** 4606 MOOREFIELD MEMORIAL HWY, PICKENS, SC 29671-9065
- **Practice address phone:** (310) 408-3290
- **Practice address fax:** (866) 655-2571
- **Mailing address:** 2638 TABLE ROCK RD, PICKENS, SC 29671-8670
- **Mailing address phone:** (310) 408-3290
- **Mailing address fax:** (866) 655-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2023
- **Last updated:** 01/11/2023