Individual provider · Type 1 NPI

Tember Rae Cooper

Student in an Organized Health Care Education/Training Program · Duluth, MN

NPI number 1013474014 Active

Practice location

1200 Kenwood Ave
Duluth, MN 55811-4199

Mailing address

2341 470th St
Isle, MN 56342-9210

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013474014

Tember Rae Cooper's National Provider Identifier is 1013474014, issued on Feb 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Duluth, MN. The record was last updated on Feb 26, 2019.