Individual provider · Type 1 NPI

Chad Cook, LMT

Massage Therapist · St. Petersburg, FL

NPI number 1801217609 Active

Practice location

400 Carillon Pkwy Ste 130
St. Petersburg, FL 33716-1290

Call (727) 202-1222 Map

Fax (727) 674-0726

Mailing address

1716 Madrid Dr
Largo, FL 33778-1244

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 74048 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1801217609

Chad Cook, LMT's National Provider Identifier is 1801217609, issued on Dec 20, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 20, 2013.