Individual
E EVONNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10000 W 75TH ST, STE 121, SHAWNEE MISSION, KS 66204-2209
(913) 362-7518
(913) 362-7302
Mailing address
10000 W 75TH ST, STE 121, SHAWNEE MISSION, KS 66204-2209
(913) 362-7518
(913) 362-7302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00492
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100413670B
—
KS
Enumeration date
09/25/2006
Last updated
05/16/2014
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