Jason George Cooper

NPI #1912736083 in Hales Corners, Wisconsin

Provider Information

NPI Number: 1912736083
Entity Type: Individual
Name: Jason George Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 29, 2024
Last Updated: Jul 29, 2024

Practice Location

Address: 5319 S 108TH ST # 11
City: Hales Corners
State: Wisconsin
ZIP Code: 53130-1332
Phone: (414) 881-5976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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