William Cooper, M.AC.O.M., L.AC.
Individual provider Active NPI Acupuncturist · Moab, UT
NPI 1366988461 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1366988461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 368174-1201 (UT)
- Practice address
- 434 Juan CT
Moab, UT 84532-2125 - Phone
- (435) 260-8005
- NPI assigned
- Jan 12, 2017
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368174-1201 | UT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 368174-1201 | UT | Yes |
Addresses
Primary practice location
434 Juan CT
Moab, UT 84532-2125
Mailing address
434 Juan CT
Moab, UT 84532-2125
Phone (435) 260-8005
Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. 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.