Individual
STACI JANAE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4515 E CENTRAL AVE, STE A, WICHITA, KS 67208-3915
(316) 260-6869
(316) 260-6872
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1104132
KS
Other
Enumeration date
06/24/2010
Last updated
02/18/2016
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