Jesse Tyler Cook, DPT

NPI #1700330917 in Homedale, Idaho

Provider Information

NPI Number: 1700330917
Entity Type: Individual
Name: Jesse Tyler Cook, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 5, 2016
Last Updated: Aug 5, 2016

Practice Location

Address: 134 E IDAHO AVE
City: Homedale
State: Idaho
ZIP Code: 83628-5003
Phone: (208) 337-3254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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