Shawn F Cooper, LMT
Massage Therapist in Lake Mary, FL. Individual provider (NPI-1).
NPI number1902510274
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1902510274
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shawn F Cooper
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA46301 | FL | Yes |
Practice location
142 W Lakeview Ave Ste 1040Lake Mary, FL 32746-2903
Phone 407-732-9634
Mailing address
120 Integra Village Trl Apt 112Sanford, FL 32771-9311
Phone 407-732-9634
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