Individual
MARIAH SHAY NICOLE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 114, ELKTON, MI 48731-0114
(989) 553-2118
Mailing address
122 SMITH ST., PO BOX 114, ELKTON, MI 48731
(989) 553-2118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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