Kelli Cooper in San Tan Valley - Physical Therapy Assistant

Kelli Cooper - NPI 1639361124

Kelli Cooper is a Physical Therapy Assistant in San Tan Valley, Arizona. Kelli Cooper practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kelli Cooper is 1639361124. The last update date is 2018-11-06.

Kelli Cooper's current location address is 1438 E Angeline Ave, San Tan Valley, Arizona. You can contact this provider via phone number 4807036430. The mailing address for Kelli Cooper is 1438 E Angeline Ave, San Tan Valley, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Cooper
Address 1438 E Angeline Ave, San Tan Valley, Arizona
Phone Number 4807036430
Fax Number
Sole Proprietor N
Credentials OTR/L, PTA

NPI Number Detail

NPI Number 1639361124
Provider Enumeration Date 2007-08-17
Last Updated Date 2018-11-06

Provider Mailing Address Detail

Address 1438 E Angeline Ave
City San Tan Valley
State Arizona (AZ)
Post Code 851404063
Phone Number 4807036430
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OTH-006878 AZ LICENSE#
7773A AZ LICENSE#

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FAQs about Kelli Cooper

What is the unique identifier code issued to Kelli Cooper by the Centers for Medicare & Medicaid Services?

The Kelli Cooper has been assigned the NPI (National Provider Identifier) 1639361124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kelli Cooper is geographically located?

The Kelli Cooper is physically situated at the following location: 1438 E Angeline Ave, San Tan Valley, AZ, 851404063.

What is Kelli Cooper's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelli Cooper is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639361124 to Kelli Cooper?

The Kelli Cooper received its 1639361124 assignment from the Centers for Medicare & Medicaid Services on 2007-08-17.

As of what date were the details related to Kelli Cooper most recently updated or revised?

The information pertaining to Kelli Cooper, including its address, specialty, and other relevant details, was last updated or revised on 2018-11-06.

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