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NPI Code Detail

MEDICARE: DR. KYLE DAVID ARTHUR COOK DPT

MEDICARE: DR. KYLE DAVID ARTHUR COOK DPT
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 Therapist2305213301VA
2225100000XPhysical TherapistPT027965PA

General Provider Information

NPI Number : 1730723719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE DAVID ARTHUR COOK DPT
Provider Business Mailing Address
First Line : 1813 HILTON AVE
Second Line :
City : DOVER
State : PA
Zip : 17315-3831
Country : US
Telephone Number : 717-758-3148
Fax Number :
Provider Business Practice Location Address
First Line : 2085 WAYNE RD
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8586
Country : US
Telephone Number : 717-709-0668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2019
Last Update Date : 10/16/2020

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