Jeremiah W Cook, LMT | |
310 S 3rd St, Carlton, OR 97111-0610 | |
(503) 939-2946 | |
Not Available |
Full Name | Jeremiah W Cook |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 310 S 3rd St, Carlton, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568587194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 13614 (Oregon) | Primary |
225700000X | Massage Therapist | MA00023290 (Washington) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Jeremiah W Cook, LMT Po Box 610, Carlton, OR 97111-0610 Ph: (503) 939-2946 | Jeremiah W Cook, LMT 310 S 3rd St, Carlton, OR 97111-0610 Ph: (503) 939-2946 |
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