Provider Demographics
NPI:1437336948
Name:COOK, ANDREW S (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:COOK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OSAWATOMIE
Mailing Address - State:KS
Mailing Address - Zip Code:66064-1105
Mailing Address - Country:US
Mailing Address - Phone:913-755-2070
Mailing Address - Fax:913-642-1554
Practice Address - Street 1:501 1ST ST
Practice Address - Street 2:
Practice Address - City:OSAWATOMIE
Practice Address - State:KS
Practice Address - Zip Code:66064-1105
Practice Address - Country:US
Practice Address - Phone:913-755-2070
Practice Address - Fax:913-642-1554
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor