Individual
RAYMOND J COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Mailing address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001211
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000911701
MEDICARE PTAN
VT
01
—
7652092
CIGNA
—
Enumeration date
12/12/2008
Last updated
03/21/2014
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