Doctor Name: | WENDY ROLFE-COOK |
NPI Number: | 1104196583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPMT, LMT, NCTMB |
License Number: | 8129862-4701 |
Business Practice Address: | 3111 Homestead Rd Park City, UT - 840984838 |
Business Phone Number: | 5302779363 |
Business Fax Number: | |
Mailing Address: | Po Box 981651, PARK CITY |
State: | UT |
Postal Code: | 840981651 |
Phone Number: | 5302779363 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 01/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 8129862-4701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |