Individual
DR. DONALD RAY COOLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 272-3380
(920) 429-1708
Mailing address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10641-024
WI
2255A2300X
Athletic Trainer
172-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36160200
—
WI
Enumeration date
01/22/2007
Last updated
03/15/2022
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