Individual
AMANDA R. COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3711 CRILL AVE, PALATKA, FL 32177-9168
(386) 312-8309
Mailing address
PO BOX 1105, EAST PALATKA, FL 32131-1105
(386) 937-4946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA45001
FL
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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