Individual
LACRAIG COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
1410 BOBWHITE TRL, GLENN HEIGHTS, TX 75154-8446
(601) 324-9793
Mailing address
1410 BOBWHITE TRL, GLENN HEIGHTS, TX 75154-8446
(601) 324-9793
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
800953163
MS
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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