Individual
TIMOTHY MICHAEL COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT; ATC
Contact information
Practice address
2170 COMMERCE DR, BLUFFTON, IN 46714-9292
(260) 824-0522
Mailing address
1311 KENWOOD DR, BLUFFTON, IN 46714-3817
(260) 273-8244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000411A
IN
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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