Robert Charles Cook, LMT
Individual provider Active NPI Massage Therapist · Bryant, AR
NPI 1548845019 · NPPES record last updated Mar 16, 2021
Key facts
- NPI
- 1548845019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7154 (AR)
- Practice address
- 3301 Main St
Bryant, AR 72022-9148 - Phone
- (501) 303-6000
- NPI assigned
- Mar 16, 2021
- Sex
- Male
- 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 |
|---|---|---|---|
| 7154 | AR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 7154 | AR | Yes |
Addresses
Primary practice location
3301 Main St
Bryant, AR 72022-9148
Mailing address
1603 Canyon Maple CV
Benton, AR 72019-7040
Phone (804) 413-1145
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2021. 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.