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NPI Code Detail

MEDICARE: SHELBY COOKE

MEDICARE: SHELBY COOKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1408252TX

General Provider Information

NPI Number : 1578492542
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY COOKE
Provider Business Mailing Address
First Line : 4912 GASTON AVE APT F
Second Line :
City : DALLAS
State : TX
Zip : 75214-5263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 RAY WHITE RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9105
Country : US
Telephone Number : 972-548-2163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ SHELBY COOKE ” Practice Location

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