MRS. Kelli Anne Cooper, L.M.T.

NPI #1285901348 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1285901348
Entity Type: Individual
Name: MRS. Kelli Anne Cooper, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Nov 17, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 6125 N SUNSHINE ST STE A
City: Coeur D Alene
State: Idaho
ZIP Code: 83815-8688
Phone: (208) 772-0802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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