Individual
DEBORAH LEE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., PHD
Contact information
Practice address
3100 BROADWAY ST, SUITE 507, KANSAS CITY, MO 64111-2658
(816) 679-7056
(816) 931-7392
Mailing address
3100 BROADWAY, SUITE 507, KANSAS CITY, MO 64111
(816) 679-7056
(816) 931-7392
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
0556
MO
2251N0400X
Neurology Physical Therapist
11-02878
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32911028
BLUE CROSS BLUE SHIELD
MO
01
—
399054
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/05/2006
Last updated
07/08/2007
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