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Tony Garrett Cook, LCP
Prosthetic/Orthotic Supplier in Campbellsville, Kentucky
NPI 1902133788

Tony Garrett Cook is a Prosthetic/Orthotic Supplier based in Campbellsville, KY. Tony Garrett Cook practices in Campbellsville, KY and has the professional credentials of LCP. The NPI Number for Tony Garrett Cook is 1902133788 and holds a License No. LP132 (Kentucky).

The current practice location address for Tony Garrett Cook is 610 W Main St, Campbellsville, KY and can be reached out via phone at 270-465-8522 and via fax at 270-465-8523.

Location: 610 W Main St, Campbellsville, KY, 42718-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902133788
Provider Name
Tony Garrett Cook
Credential
LCP
Provider Entity Type
Individual
Gender
Male
Address
610 W Main St, Campbellsville, KY, 42718-2501
Phone Number
270-465-8522
Fax Number
270-465-8523
Provider Enumeration Date
11/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100209830 05 KY
000000788517 01 KY ATHEM BLUE CROSS AND BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
610 W Main St
City
Campbellsville
State
Kentucky
Zip
42718-2501
Phone Number
270-465-8522
Fax Number
270-465-8523
person
Provider Business Mailing Address Details
Address
610 W Main St
City
Campbellsville
State
Kentucky
Zip
42718-2501
Phone Number
270-465-8522
Fax Number
270-465-8523
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
LP132 (Kentucky)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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