Individual
CASEY WILLIAM COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
20141 COOK RD, BURLINGTON, WA 98233-4906
(360) 854-8393
Mailing address
20141 COOK RD, BURLINGTON, WA 98233-4906
(360) 854-8393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00020452
WA
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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