Jeremiah W Cook, LMT

NPI #1568587194 in Carlton, Oregon

Provider Information

NPI Number: 1568587194
Entity Type: Individual
Name: Jeremiah W Cook, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 S 3RD ST
City: Carlton
State: Oregon
ZIP Code: 97111-0610
Phone: (503) 939-2946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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