Individual
SARA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 20TH STREET, HUNTINGTON, WV 25703
(304) 522-7553
Mailing address
1119 20TH STREET, HUNTINGTON, WV 25703-2096
(304) 522-7553
(304) 522-7838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2008-2384
WV
Other
Enumeration date
09/09/2008
Last updated
06/09/2021
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