Individual provider · Type 1 NPI
Kelly Marie Cooper, L.M.B.T
Massage Therapist · Fairview, NC
NPI number
1265763098
Active
Practice location
25 Quail Hollow Rd
Fairview, NC 28730-8505
Mailing address
2 Fairview Hills Dr
Fairview, NC 28730-9777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 5397 (NC) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Fairview
About NPI 1265763098
Kelly Marie Cooper, L.M.B.T's National Provider Identifier is 1265763098, issued on Jan 19, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairview, NC. The record was last updated on Jan 19, 2010.