Individual
MICAELA COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 UNIVERSITY PKWY, PENSACOLA, FL 32514-5732
(850) 474-2000
Mailing address
4771 HIGHWAY 178, MILTON, FL 32570-8691
(850) 206-2759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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