DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMIAH W COOK, LMT

Active Sole Proprietor

Massage Therapist · CARLTON, OR

Registration Details

NPI Number
1568587194
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2007 (19.152393840744 yrs)
Last Updated
Jul 8, 2007
Licenses
13614 (OR)
MA00023290 (WA)
Sole Proprietor
Yes

Practice Information

Address
310 S 3RD ST
CARLTON, OR, 971110610
Browse OR providers · Browse ZIP 97111
Phone
5039392946
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in CARLTON, OR

Name Credential NPI
HOLLY PEARSON L.M.T., CD-L 1568735348
TIA J BAXTER 1922480656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.