Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAC COOPER, PTA
ActiveMAC COOPER, PTA is a Physical Medicine & Rehabilitation healthcare provider located in SALMON, Idaho. NPI 1831627710 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · SALMON, ID
Registration Details
- NPI Number
- 1831627710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2017 (9.1820691181748 yrs)
- Last Updated
- May 23, 2017
- License
-
PTA5126 (ID)
Practice Information
- Address
-
802 SHOUP STSALMON, ID, 834674305Browse ID providers · Browse ZIP 83467
- Phone
- 2087562005
- Fax
- 2087564020
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.