Individual
BRAEDEN MICAH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10100 E SHANNON WOODS CIR STE 2, WICHITA, KS 67226-4105
(316) 681-0824
Mailing address
10100 E SHANNON WOODS CIR STE 2, WICHITA, KS 67226-4105
(316) 681-0824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07427
KS
Other
Enumeration date
02/24/2020
Last updated
05/27/2025
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