Organization
COOK THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA R BLACKBURN-COOK MA, CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(606) 497-7533
Entity
Organization
Contact information
Practice address
2970 POSSUM TROT RD # 2, LEBURN, KY 41831-8950
(606) 497-7533
(606) 785-5441
Mailing address
PO BOX 212, MOUSIE, KY 41839-0212
(606) 497-7533
(606) 785-5441
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3571
KY
Other
Enumeration date
03/04/2011
Last updated
06/27/2012
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