Provider Demographics
NPI:1427320290
Name:COOKE, RUTH
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:COOKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 AUSTIN PKWY
Mailing Address - Street 2:1001
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1251
Mailing Address - Country:US
Mailing Address - Phone:832-771-9470
Mailing Address - Fax:
Practice Address - Street 1:1800 AUSTIN PKWY
Practice Address - Street 2:1001
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1251
Practice Address - Country:US
Practice Address - Phone:832-771-9470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist