Marissa Welch
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cooper, TX
NPI 1023980679 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1023980679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 929 County Road 1035
Cooper, TX 75432-8118 - Phone
- (903) 307-9804
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
929 County Road 1035
Cooper, TX 75432-8118
Mailing address
929 County Road 1035
Cooper, TX 75432-8118
Phone (903) 307-9804
Other providers in Cooper, TX
All providers in Cooper, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.