NPI 1801130794

Brian David Cooper, CMTLMT

Practitioner Mechanotherapist Gainesville, VA

Practice location

Address: 7450 Heritage Village Plz Suite 201, Gainesville, VA 20155-3090
Phone: (973) 800-5194
Mailing address: 9272 Caladium Dr, Manassas, VA 20110-6083

Registered specialties (2)

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 0019009629 (VA)

Other Mechanotherapist providers in Virginia →

Mechanotherapist

Other Service Providers Taxonomy 172M00000X Licence MT1634 (DC)

Registry record

NPI: 1801130794
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2012
Record last updated: 10 Jul 2013

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.