Individual
KELLI COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
936 S 1500 E, SALT LAKE CITY, UT 84105-1639
(801) 633-2644
Mailing address
936 S 1500 E, SALT LAKE CITY, UT 84105-1639
(801) 633-2644
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
65711792401
UT
Other
Enumeration date
11/03/2007
Last updated
10/03/2024
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