Provider Demographics
NPI:1376739177
Name:COOK, RHONDA (LAC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:MARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:PO BOX 7264
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-0101
Mailing Address - Country:US
Mailing Address - Phone:720-556-5332
Mailing Address - Fax:
Practice Address - Street 1:1019 8TH ST STE 102
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5877
Practice Address - Country:US
Practice Address - Phone:720-556-5332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-15
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002148171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist