Individual
CODY WILLIAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
1200 S FRANKLIN ST, MOUNT PLEASANT, MI 48859-2001
(989) 774-1663
Mailing address
1204 VINEWOOD ST APT 1, CLARE, MI 48617-1269
(989) 240-0789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002213
MI
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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