Individual
JOSHUA PAUL COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3100 S KINNEY COULEE RD, GUNDERSEN LUTHERAN SPORTS MEDICINE, ONALASKA, WI 54650-8512
(608) 775-8600
(608) 775-8614
Mailing address
2128 PROSPECT ST, LA CROSSE, WI 54603-2067
(608) 779-5625
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
498-039
WI
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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