IndividualActive
Elizabeth Cooke, BS, BIS, CS
NPI 1790482693 · Developmental Therapist · Lewiston, ID
Provider details
- NPI number
- 1790482693
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BS, BIS, CS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1519 Alder Ave
Lewiston, ID 83501-5815
Phone: (208) 503-9104
Approximate (ZIP-level) locationGet directions
Mailing address
1519 Alder Ave
Lewiston, ID 83501-5815
Registry dates
- Enumerated
- 2023-02-10
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.