Individual provider · Type 1 NPI

Kelli Anne Cooper, L.M.T.

Massage Therapist · Coeur D Alene, ID

NPI number 1285901348 Active

Practice location

6125 N Sunshine St Ste A
Coeur D Alene, ID 83815-8688

Call (208) 772-0802 Map

Mailing address

116 E Wyoming Ave
Hayden, ID 83835-9618

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60067981 (WA)
Massage Therapist 225700000XMT109720 (TX)

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.

2 other providers at this address

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About NPI 1285901348

Kelli Anne Cooper, L.M.T.'s National Provider Identifier is 1285901348, issued on Nov 17, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Dec 7, 2011.