MR. Theavis Cooper JR., ATC
NPI #1073064226 in Wesson, Mississippi
Provider Information
- NPI Number
- 1073064226
- Entity Type
- Individual
- Name
- MR. Theavis Cooper JR., ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Oct 21, 2016
- Last Updated
- Feb 26, 2019
Practice Location
- Address
- 1028 JC REDD DR WESSON, MISSISSIPPI 39191
- City
- Wesson
- State
- Mississippi
- ZIP Code
- 39191
- Phone
- (601) 643-8479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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