Individual
MRS. KATHLEEN A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
PHYSICAL THERAPY OF CONCORDIA, 607 SOUTH MAIN STREET, SUITE A, CONCORDIA, MO 64020
(660) 463-2588
(660) 463-2589
Mailing address
607 S MAIN ST, SUITE A, CONCORDIA, MO 64020-2503
(660) 463-7494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111564
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34224016
BCBSKC
MO
Enumeration date
06/13/2006
Last updated
09/30/2013
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