Provider Demographics
NPI:1538168349
Name:COOK, VELOY K (DO)
Entity type:Individual
Prefix:
First Name:VELOY
Middle Name:K
Last Name:COOK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 E 800 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1210
Mailing Address - Country:US
Mailing Address - Phone:801-798-7746
Mailing Address - Fax:801-477-1572
Practice Address - Street 1:685 E 800 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1325
Practice Address - Country:US
Practice Address - Phone:801-798-7746
Practice Address - Fax:801-477-1572
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2017-01-30
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-04-04
Provider Licenses
StateLicense IDTaxonomies
UT51284901202111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000056318Medicare ID - Type Unspecified
UTU90784Medicare UPIN