Individual
MR. KYLE LEE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 SPRUNT ST, ROOM 127, CHAPEL HILL, NC 27517-7811
(984) 974-2560
(919) 843-2195
Mailing address
101 MANNING DR, DEPARTMENT OF PT/OT, CHAPEL HILL, NC 27514-4220
(984) 974-2560
(919) 843-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P13370
NC
2251X0800X
Orthopedic Physical Therapist
Primary
13370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q40934E107
MEDICARE PTAN
NC
Enumeration date
02/21/2012
Last updated
11/07/2024
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