Whalio Doctors

NPI 1265763098

Kelly Marie Cooper, LMBT

Practitioner Massage Therapist Fairview, NC

Practice location

Address
25 Quail Hollow Rd, Fairview, NC 28730-8505
Phone
(828) 777-5083
Mailing address
2 Fairview Hills Dr, Fairview, NC 28730-9777

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 5397 (NC)

Registry record

NPI
1265763098
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jan 2010
Record last updated
19 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.