Individual
CHRISTA MICHELLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
W 628 ALDER ST, SHELTON, WA 98584
(360) 426-6325
(360) 426-8300
Mailing address
PO BOX 1975, SHELTON, WA 98584
(360) 426-6325
(360) 426-8300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024295
WA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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