Provider Demographics
NPI:1659160711
Name:COOK, MARGARET G
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:G
Last Name:COOK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SATE HWY V
Mailing Address - Street 2:
Mailing Address - City:STELLA
Mailing Address - State:MO
Mailing Address - Zip Code:64867
Mailing Address - Country:US
Mailing Address - Phone:479-366-8196
Mailing Address - Fax:
Practice Address - Street 1:2200 SE J ST STE 22
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4186
Practice Address - Country:US
Practice Address - Phone:870-232-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4990225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant