| Doctor Name: | TY COOK |
| NPI Number: | 1023154895 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | P20637 |
| Business Practice Address: | 2344 Old Sonoma Rd Building G Napa, CA - 945593708 |
| Business Phone Number: | 7072598753 |
| Business Fax Number: | |
| Mailing Address: | 2344 Old Sonoma Rd, Building G NAPA |
| State: | CA |
| Postal Code: | 945593708 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | P20637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |