Individual
ELIZABETH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1043 JACK VEST DR, JOHNSON CITY, TN 37614
(423) 439-4044
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15112
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033952502
—
VA
05
—
Q094028
—
TN
Enumeration date
06/13/2024
Last updated
04/20/2026
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