Individual
MRS. DIANE ELAINE HOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC LMT
Contact information
Practice address
840 E PRIMROSE, SPRINGFIELD, MO 65807
(417) 889-7826
Mailing address
2202 E BARATARIA, SPRINGFIELD, MO 65804
(417) 886-0924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
06000123
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31389
BLUE CROSS
MO
Enumeration date
03/23/2006
Last updated
07/08/2007
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