Provider Demographics
NPI:1194433037
Name:COOK, PRESTON (DC)
Entity type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:
Last Name:COOK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 W MEMORIAL RD STE 116
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-8064
Mailing Address - Country:US
Mailing Address - Phone:843-568-6186
Mailing Address - Fax:
Practice Address - Street 1:2237 W MEMORIAL RD STE 116
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-8064
Practice Address - Country:US
Practice Address - Phone:843-568-6186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor