Terrance Marshall Cooper, D.C.
Individual provider Active NPI Chiropractor · Parowan, UT
NPI 1720183288 · NPPES record last updated Oct 29, 2010
Key facts
- NPI
- 1720183288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 125666-1202 (UT)
- Practice address
- 313 West 200 South
Parowan, UT 84761 - Phone
- (435) 477-1700
- Fax
- (435) 477-9144
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125666-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternate Health Solutions LLC | Chiropractor | Past | Accepting new patients |
| Roosevelt Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Hartle Chiropractic Clinic, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 125666-1202 | UT | Yes |
Addresses
Primary practice location
313 West 200 South
Parowan, UT 84761
Mailing address
313 West 200 South PO Box 1865
Parowan, UT 84761
Phone (435) 477-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870395551TCOOP | Medicaid | UT |
Other providers in Parowan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2010. 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.