Individual
JERAD JEFFREY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Mailing address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004285
WV
Other
Enumeration date
08/18/2020
Last updated
08/20/2020
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