Individual
BAILEY COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9213
(406) 251-2323
(406) 251-2999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2363PTA
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306858642
ORGANIZATION NPI
MT
Enumeration date
09/01/2010
Last updated
09/01/2010
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