Organization
LIFEFORCE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT COOPER DC, CSCS, RKC (PRESIDENT)
(781) 551-9119
Entity
Organization
Contact information
Practice address
1420 PROVIDENCE HWY, SUITE 115, NORWOOD, MA 02062-4662
(781) 551-9119
(781) 551-0220
Mailing address
1420 PROVIDENCE HWY, SUITE 115, NORWOOD, MA 02062-4662
(781) 551-9119
(781) 551-0220
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39412
BCBS
MA
Enumeration date
02/28/2008
Last updated
01/13/2010
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