MR. Jason Andre Cooper, ATC, PTA
NPI #1356457576 in Senatobia, Mississippi
Provider Information
- NPI Number
- 1356457576
- Entity Type
- Individual
- Name
- MR. Jason Andre Cooper, ATC, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, PTA
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Feb 19, 2014
Practice Location
- Address
- 214 EAST MAIN ST.
- City
- Senatobia
- State
- Mississippi
- ZIP Code
- 38668
- Phone
- (662) 560-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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