Individual
JACKSON WILLIAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
11160 S LONE ELM RD, OLATHE, KS 66061-9434
(913) 708-8450
Mailing address
6770 BROWNRIDGE DR, SHAWNEE, KS 66218-8919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07903
KS
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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