MR. Johnny W Cooper, LMT,NCTMB
NPI #1629159819 in Danville, West Virginia
Provider Information
- NPI Number
- 1629159819
- Entity Type
- Individual
- Name
- MR. Johnny W Cooper, LMT,NCTMB
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Naturopath
- Credential
- LMT,NCTMB
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 61 TOWN SQUARE
- City
- Danville
- State
- West Virginia
- ZIP Code
- 25053-0206
- Phone
- (304) 369-7009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Naturopath |
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Organizations
| Provider Name | |
|---|---|
| Blue Rose Holistics, LLC |
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