Individual
JOSEPH P COOLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1707 W 20TH ST, LAUREL, MS 39440-1802
(601) 428-2004
(601) 428-8833
Mailing address
1707 W 20TH ST, LAUREL, MS 39440-1802
(601) 428-2004
(601) 428-8833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0780
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000023862
—
MS
01
—
6430008
UNITED HEALTHCARE
MS
Enumeration date
03/20/2007
Last updated
11/21/2025
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