Provider Demographics
NPI:1881817609
Name:COOK, RHONDA F (MAC, LAC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:F
Last Name:COOK
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 39TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4962
Mailing Address - Country:US
Mailing Address - Phone:615-957-9017
Mailing Address - Fax:
Practice Address - Street 1:2815 AZALEA PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3117
Practice Address - Country:US
Practice Address - Phone:615-957-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN93171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist