Individual
MR. BRADLEY JASON COOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1689 NONCONNAH BLVD, SUITE 105, MEMPHIS, TN 38132-2102
(901) 797-6805
Mailing address
1153 GREENVIEW RD, COLLIERVILLE, TN 38017-6884
(901) 850-7750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000833
TN
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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