Provider Demographics
NPI:1912394479
Name:COOKSLEY, AARON MYLES (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MYLES
Last Name:COOKSLEY
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 1:8300 OLD CHENEY RD STE B
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3540
Mailing Address - Country:US
Mailing Address - Phone:402-483-4646
Mailing Address - Fax:402-483-4649
Practice Address - Street 1:8300 OLD CHENEY RD STE B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3540
Practice Address - Country:US
Practice Address - Phone:402-483-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor