Brittnee Cooper

Individual provider Active NPI Physical Therapy Assistant · Wheeler, MI

NPI 1821453929 · NPPES record last updated Dec 16, 2015

Key facts

NPI
1821453929
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5502003858 (MI)
Practice address
1800 W Redstone Rd
Wheeler, MI 48662-9602
Phone
(989) 763-8410
NPI assigned
Dec 16, 2015
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

State licenses

LicenseStateTypeSpecialty
5502003858MIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502003858 MI Yes

Addresses

Primary practice location

1800 W Redstone Rd
Wheeler, MI 48662-9602

Mailing address

1800 W Redstone Rd
Wheeler, MI 48662-9602

Other providers in Wheeler, MI

All providers in Wheeler, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.