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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THEAVIS COOPER JR., ATC

Active Sole Proprietor

MR. THEAVIS COOPER JR., ATC is a Athletic Trainer healthcare provider located in WESSON, Mississippi. NPI 1073064226 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WESSON, MS

Registration Details

NPI Number
1073064226
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2016 (9.7818407811109 yrs)
Last Updated
Feb 26, 2019
Sole Proprietor
Yes

Practice Information

Address
1028 JC REDD DR WESSON, MISSISSIPPI 39191
WESSON, MS, 39191
Browse MS providers · Browse ZIP 39191
Phone
6016438479
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WESSON, MS

Name Credential NPI
GREGORY MATTHEW MCCLAIN MS, ATC, LAT 1326363029
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.