MAC COOPER PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1831627710- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 802 SHOUP ST, SALMON, ID, 834674305
- Phone
- (208) 756-2005
- Fax
- (208) 756-4020
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: ID #PTA5126