Individual
JAYME COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11913 BRAGG AVE, LOUISVILLE, KY 40243-1319
(502) 414-4851
Mailing address
11913 BRAGG AVE, LOUISVILLE, KY 40243-1319
(502) 414-4851
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
134982
KY
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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