Cook Therapy Services, PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

3571 Issued in KY

Legal business name

COOK THERAPY SERVICES, PLLC

Practice address

2970 Possum Trot Rd # 2
Leburn, KY 41831-8950

Phone

(606) 497-7533

Fax

(606) 785-5441

NPI assigned

Mar 4, 2011

Last updated

Jun 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda R Blackburn-Cook, MA, CCC/SLP

Title

Speech-Language Pathologist

Phone

(606) 497-7533

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1689972358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "MOUSIE",
            "state": "KY",
            "postal_code": "418390212",
            "telephone_number": "606-497-7533",
            "fax_number": "606-785-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 POSSUM TROT RD # 2",
            "city": "LEBURN",
            "state": "KY",
            "postal_code": "418318950",
            "telephone_number": "606-497-7533",
            "fax_number": "606-785-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN-COOK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "606-497-7533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "3571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Leburn, KY
• Providers in Leburn, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.