Mrs. KELLI ANNE COOPER -- L.M.T.
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1285901348- Provider Type
- Individual Provider (NPI-1)
- Credentials
- L.M.T.
- Status
- Active
Contact & Location
- Address
- 6125 N SUNSHINE ST STE A, COEUR D ALENE, ID, 838158688
- Phone
- (208) 772-0802
Specialties & Taxonomies
Massage Therapist
Primary License: WA #MA 60067981
Massage Therapist
License: TX #MT109720