Provider Demographics
NPI:1700044096
Name:MEDLEY COOK, SHONAREESA RHOLENCIA (CRT)
Entity Type:Individual
Prefix:MRS
First Name:SHONAREESA
Middle Name:RHOLENCIA
Last Name:MEDLEY COOK
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:MISS
Other - First Name:SHONAREESA
Other - Middle Name:RHOLENCIA
Other - Last Name:MEDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRT
Mailing Address - Street 1:7446 SENECA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-9479
Mailing Address - Country:US
Mailing Address - Phone:717-428-3298
Mailing Address - Fax:
Practice Address - Street 1:7446 SENECA RIDGE DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-9479
Practice Address - Country:US
Practice Address - Phone:717-428-3298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL0004521227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified