Morgan Cooper Bagley, ATC

Individual provider Active NPI Athletic Trainer · Alliance, OH

NPI 1235342007 · NPPES record last updated Sep 25, 2012

Key facts

NPI
1235342007
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT002353 (OH)
Practice address
1972 Clark Ave
Alliance, OH 44601
Phone
(330) 829-8962
Fax
(330) 823-4896
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1162NCMDAthletic Trainer
AT002353OHMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1162 NC
Athletic Trainer 2255A2300X AT002353 OH Yes

Addresses

Primary practice location

1972 Clark Ave
Alliance, OH 44601

Mailing address

1972 Clark Ave
Alliance, OH 44601
Phone (330) 829-8962

Other names

  • Morgan Lynn Cooper Former name

Other providers in Alliance, OH

All providers in Alliance, OH · Athletic Trainer in Ohio

Sources for this page

Verify at the official NPI Registry.