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

AMANDA BLAIZE COOPER, ATC

Active

AMANDA BLAIZE COOPER, ATC is a Athletic Trainer healthcare provider located in SPRINGFIELD, Missouri. NPI 1790034502 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SPRINGFIELD, MO

Registration Details

NPI Number
1790034502
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2012 (13.935325825802 yrs)
Last Updated
Sep 7, 2012
License
2012017269 (MO)

Practice Information

Address
2135 S FREEMONT AVE
SPRINGFIELD, MO, 65804
Browse MO providers · Browse ZIP 65804
Phone
4178202000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SPRINGFIELD, MO

Name Credential NPI
IVAN EUGENE MILTON AT 1841291747
MR. JAMES THOMAS PENKALSKI ATC 1073505921
MS. SHANNON ELIZABETH DERRICKS ATC 1114919057
MS. ROBIN E MEEKS ATC 1376535211
MS. TIMAREE ANNE WALSH ATC 1114919628
MRS. JENNIFER MARIE PROBSTFIELD ATC 1932192895
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.