MEDICARE: COOK CHIROPRACTIC LLC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1760339337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COOK CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	26080 RIDGETRAIL DR
Second Line	:
City	:	WARRENTON
State	:	MO
Zip	:	63383-6573
Country	:	US
Telephone Number	:	636-297-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 WARRENTON SHOPPES STE 56
Second Line	:
City	:	WARRENTON
State	:	MO
Zip	:	63383-1060
Country	:	US
Telephone Number	:	636-297-0007
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JESSE COOK
Credential	:	DC
Telephone Number	:	636-297-0007

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “COOK CHIROPRACTIC LLC ” Practice Location

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