Provider Demographics
NPI:1942677091
Name:COOKE, CHRISTINA (RD LD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:COOKE
Suffix:
Gender:F
Credentials:RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AULTMAN HOSPITAL
Mailing Address - Street 2:2600 6TH ST. SW
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710-2026
Mailing Address - Country:US
Mailing Address - Phone:330-363-2932
Mailing Address - Fax:330-438-2913
Practice Address - Street 1:AULTMAN HOSPITAL
Practice Address - Street 2:2600 6TH ST. SW
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-2026
Practice Address - Country:US
Practice Address - Phone:330-363-2932
Practice Address - Fax:330-438-2913
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10741133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered