Individual
MS. MIKYLA NAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
4501 BRIDGE ST, FORT WORTH, TX 76103-1160
(405) 708-8369
Mailing address
14157 SALMON DR, FRISCO, TX 75035-0068
(405) 708-8369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7584
—
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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