Consilena Cooke, LMT; NMT,
Massage Therapist in Snellville, GA. Individual provider (NPI-1).
NPI number1871023309
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1871023309
- Entity type
- Individual (NPI-1)
- Name
- Ms. Consilena Cooke
- Credential
- LMT; NMT,
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT011258 | GA | Yes |
Other names
- Connie Cooke (Professional Name)
Practice location
1350 Scenic Hwy N Ste 266Snellville, GA 30078-7923
Phone 678-948-8130
Mailing address
1350 Scenic Hwy N Ste 266Snellville, GA 30078-7923
Phone 678-948-8130
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