Individual provider · Type 1 NPI

Jason George Cooper

Massage Therapist · Hales Corners, WI

NPI number 1912736083 Active

Practice location

5319 S 108th St # 11
Hales Corners, WI 53130-1332

Mailing address

8835 S Oak Park Dr Apt 12
Oak Creek, WI 53154-3814

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10683-146 (WI)

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.

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About NPI 1912736083

Jason George Cooper's National Provider Identifier is 1912736083, issued on Jul 29, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hales Corners, WI. The record was last updated on Jul 29, 2024.