Individual
ABIGAYLE TEGAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BURLEY WAY, MOUNT STERLING, KY 40353-1644
(606) 541-3726
Mailing address
200 BURLEY WAY, MOUNT STERLING, KY 40353-1644
(606) 541-3726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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