Individual
MICHAEL COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS, CKTP
Contact information
Practice address
12 LONGVIEW DR, BEVERLY, MA 01915-2614
(978) 578-4169
(978) 524-0421
Mailing address
12 LONGVIEW DR, BEVERLY, MA 01915-2614
(978) 578-4169
(978) 524-0421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1158
MA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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