Healthcare Provider Details

I. General information

NPI: 1881537231
Provider Name (Legal Business Name): PAIGE RACHELLE COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 OFFICE CLUB PT STE 301
COLORADO SPRINGS CO
80920-5020
US

IV. Provider business mailing address

1868 RALPHS RDG APT 206
COLORADO SPRINGS CO
80910-4420
US

V. Phone/Fax

Practice location:
  • Phone: 712-212-1336
  • Fax:
Mailing address:
  • Phone: 949-466-3565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0027053
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: