Individual
MELISSA ELAINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
17925 COLEMAN VALLEY RD, OCCIDENTAL, CA 95465-9318
(707) 874-1751
Mailing address
17925 COLEMAN VALLEY RD, OCCIDENTAL, CA 95465-9318
(707) 874-1751
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
48491
CA
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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