Stacey R. Cooper, P.T.

NPI #1528000320 in Bonney Lake, Washington

Provider Information

NPI Number: 1528000320
Entity Type: Individual
Name: Stacey R. Cooper, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 13, 2006
Last Updated: Jun 25, 2015

Practice Location

Address: 10004 204TH AVE E
Address 2: STE 3100
City: Bonney Lake
State: Washington
ZIP Code: 98391-6539
Phone: (253) 863-7510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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