Christy Marie Cooke, LMT
Individual provider Active NPI Specialist · Millsboro, DE
NPI 1538481908 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1538481908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MT-0002976 (DE)
- Practice address
- 28324 Elizabeth St
Millsboro, DE 19966-2578 - Phone
- (302) 381-3142
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MT-0002976 | DE | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT-0002976 | DE | Yes |
Addresses
Primary practice location
28324 Elizabeth St
Millsboro, DE 19966-2578
Mailing address
28324 Elizabeth St
Millsboro, DE 19966-2578
Phone (302) 381-3142
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. 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.