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Theavis Cooper, ATC
NPI 1073064226 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1028 Jc Redd Dr Wesson, Mississippi 39191
Wesson, MS 39191 - Phone
- (601) 643-8479
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2019-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi