NPIMap

Terri Lyn Cooper, D.C., C.C.S.P.

Individual provider Active NPI Sports Physician Chiropractor · Marion, IA

NPI 1861614596 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1861614596
Entity type
Individual (NPI type 1)
Primary specialty
Sports Physician Chiropractor 111NS0005X
License
A5590 (IA)
Practice address
693 Marion Blvd
Marion, IA 52302-3125
Phone
(319) 365-1141
Fax
(319) 365-1146
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
A5590IAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Wellness Clinic Current
since Sep 21, 2025		 Accepting new patients

Locations

1500 Center St NE
Cedar Rapids, IA 52402
Phone (319) 365-1141

693 Marion Blvd
Marion, IA 52302
Phone (319) 365-1141

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X A5590 IA Yes

Addresses

Primary practice location

693 Marion Blvd
Marion, IA 52302-3125

Mailing address

382 E Post Rd SE
Cedar Rapids, IA 52403-2016
Phone (319) 365-1141

Other providers in Marion, IA

All providers in Marion, IA · Sports Physician Chiropractor in Iowa

Sources for this page

Verify at the official NPI Registry.