Organization
PATRICK J. COOLEY, D.C., P.T., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J. COOLEY D.C., P.T. (OWNER)
(802) 773-7700
Entity
Organization
Contact information
Practice address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Mailing address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68844 - PT
BLUE CROSS BLUE SHIELD
VT
01
—
68845 - CHIRO
BLUE CROSS BLUE SHIELD
VT
01
—
DE4922
RAILROAD MEDICARE-GROUP #
GA
01
—
V169
CDPHP GROUP
VT
Enumeration date
08/21/2007
Last updated
03/19/2014
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