Individual
RACHEL DIANE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2506 N HARRISON ST, SHAWNEE, OK 74804-3131
(405) 214-0300
(405) 214-0301
Mailing address
PO BOX 3675, SHAWNEE, OK 74802-3675
(405) 214-0300
(405) 214-0301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4220
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851521710
NPI
OK
05
—
200257240A
—
OK
01
—
4220
PT LICENSE
OK
Enumeration date
07/24/2009
Last updated
07/21/2016
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