Individual
DAVID TYLER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
101 WASHINGTON ST, COLUMBIANA, AL 35051-9325
(256) 738-6808
Mailing address
720 MONTCLAIR RD STE 202, BIRMINGHAM, AL 35213-1964
(205) 747-2710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1737
AL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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