Individual
DENISE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, BCTMB
Contact information
Practice address
4450 ERIN DR STE 200C, EAGAN, MN 55122-2586
(952) 200-2330
Mailing address
8312 BLOOMINGTON AVE, BLOOMINGTON, MN 55425-1726
(952) 200-2330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2190
MN
225700000X
Massage Therapist
—
MN
Other
Enumeration date
01/04/2011
Last updated
09/04/2023
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