Individual
TYSON DANIEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
901 N CURTIS RD, SUITE 204, BOISE, ID 83706-1338
(208) 367-3315
Mailing address
7550 W EMERALD ST, BOISE, ID 83704-9015
(208) 314-5904
(208) 375-2996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4239
ID
Other
Enumeration date
11/30/2015
Last updated
02/21/2022
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