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Mac Cooper, PTA
NPI 1831627710 · on the registry since 2017
Practice
- Address
- 802 Shoup St
Salmon, ID 83467 - Phone
- (208) 756-2005
- Fax
- (208) 756-4020
- Organisation at this address
- Physical Therapy Clinic,Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician
208100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-23
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 Idaho