Individual
KERRY COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6342 GRAND HICKORY DR STE 102, BRASELTON, GA 30517-4069
(770) 967-2177
(770) 967-2014
Mailing address
6342 GRAND HICKORY DR STE 102, BRASELTON, GA 30517-4069
(770) 967-2177
(770) 967-2014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52010165-007
BCBS
GA
Enumeration date
06/11/2006
Last updated
02/01/2008
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