Individual
RONNIE TRAVIS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5773 HIGHWAY 510, GORDON, KY 41819-8941
(606) 505-0020
Mailing address
5773 HIGHWAY 510, GORDON, KY 41819-8941
(606) 505-0020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03025
KY
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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