NPI 1376071845
Bailey Cooper, ATC
Practice location
- Address
- 600 N Grand Ave, Tahlequah, OK 74464-2301
- Phone
- (918) 409-7533
- Mailing address
- 500 S Redwood Ave, Broken Arrow, OK 74012-4558
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1376071845
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 May 2017
- Record last updated
- 26 Jul 2019
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.