# GODSPEED ESA HOOVER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Godspeed Elite Sports Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336759257
- **Authorized official:** MICHELLE HAWTHORNE MS (CREDENTIALING AND BILLING MANAGER)
- **Authorized official phone:** (205) 292-2428

## Contact information

- **Practice address:** 110 LITTLE VALLEY CT, HOOVER, AL 35244-2002
- **Practice address phone:** (205) 292-2428
- **Mailing address:** 110 LITTLE VALLEY CT, HOOVER, AL 35244-2002
- **Mailing address phone:** (205) 292-2428

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 12/15/2021