Individual
MISS KATELYN VICTORIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1119 20TH ST, HUNTINGTON, WV 25703-2021
(304) 522-7553
(304) 522-7838
Mailing address
1119 20TH ST, HUNTINGTON, WV 25703-2021
(304) 522-7553
(304) 522-7838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015-3303
WV
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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