Provider Demographics
NPI:1578040481
Name:COOK, KRISTEN ROSATO (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ROSATO
Last Name:COOK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 OAK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:GODLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76044-3879
Mailing Address - Country:US
Mailing Address - Phone:806-438-1606
Mailing Address - Fax:
Practice Address - Street 1:121 OAK VIEW DR
Practice Address - Street 2:
Practice Address - City:GODLEY
Practice Address - State:TX
Practice Address - Zip Code:76044-3879
Practice Address - Country:US
Practice Address - Phone:806-438-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1192733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist