Individual
TARA ROSE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CEAS
Contact information
Practice address
3921 E 75TH ST, INDIANAPOLIS, IN 46240-3607
(317) 902-4441
Mailing address
3921 E 75TH ST, INDIANAPOLIS, IN 46240-3607
(317) 902-4441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001466A
IN
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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