Individual
KAELE R COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4175 S. ALAMO AVE, TUCSON, AZ 85707
(520) 228-2778
(520) 228-0031
Mailing address
4175 S. ALAMO AVE, TUCSON, AZ 85707
(520) 228-2778
(520) 228-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31155
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4423
—
AZ
Enumeration date
01/03/2020
Last updated
02/04/2022
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