Individual
MR. JASON ANDRE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
214 EAST MAIN ST., SENATOBIA, MS 38668
(662) 560-0602
(662) 560-0603
Mailing address
20 S. MAIN STREET, WATER VALLEY, MS 38965
(662) 473-3400
(662) 473-4389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT0326
MS
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
02/19/2014
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