Cameron James Cook, LMP – Massage Therapist

Key facts

NPI: 1407385016
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: MA60677401 (WA)
Practice address: 1120 Grant Rd
East Wenatchee, WA 98802-5243
Phone: (509) 884-7163
Fax: (509) 884-2363
NPI assigned: Jun 7, 2017
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hurst Chiropractic, P.C. Chiropractor · East Wenatchee, WA · NPI 1013965888

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MA60677401	WA	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Hurst Chiropractic, P.C.		Current since Jul 24, 2022	Accepting new patients

Locations

1120 Grant Rd
East Wenatchee, WA 98802
Phone (509) 884-7163

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	MA60677401	WA	Yes

Addresses

Primary practice location

1120 Grant Rd
East Wenatchee, WA 98802-5243

Mailing address

1120 Grant Rd
East Wenatchee, WA 98802-5243
Phone (509) 884-7163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407385016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 GRANT RD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025243",
            "telephone_number": "509-884-7163",
            "fax_number": "509-884-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 GRANT RD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025243",
            "telephone_number": "509-884-7163",
            "fax_number": "509-884-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CAMERON",
        "middle_name": "JAMES",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60677401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

All providers in East Wenatchee, WA · Massage Therapist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.