Individual
BAILEY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
600 N GRAND AVE, TAHLEQUAH, OK 74464-2301
(918) 409-7533
Mailing address
500 S REDWOOD AVE, BROKEN ARROW, OK 74012-4558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
07/26/2019
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