Individual
GRANT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1365 MEDICAL PKWY, CARSON CITY, NV 89703-4653
(775) 786-3040
(775) 788-5254
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4468
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15097140
CAHQ
—
Enumeration date
03/01/2021
Last updated
02/10/2022
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