Individual
CHAD COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
400 CARILLON PKWY STE 130, ST PETERSBURG, FL 33716-1290
(727) 202-1222
(727) 674-0726
Mailing address
1716 MADRID DR, LARGO, FL 33778-1244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 74048
FL
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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