Provider Demographics
NPI:1649276858
Name:COOK, SHERI (DC)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 W DE NADA
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85622-3228
Mailing Address - Country:US
Mailing Address - Phone:612-414-8941
Mailing Address - Fax:
Practice Address - Street 1:175 S LA CANADA DR STE 111
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-2600
Practice Address - Country:US
Practice Address - Phone:520-329-3345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND998111N00000X
MN3866111N00000X
AZ8815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN519177700Medicare PIN