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NPI Code Detail

MEDICARE: MRS. RACHEL COOPER PTA

MEDICARE:  MRS. RACHEL  COOPER  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist06003335AIN
23747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1780013250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL COOPER PTA
Provider Business Mailing Address
First Line : 255 MEADOW DR
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1415
Country : US
Telephone Number : 317-745-5451
Fax Number : 317-745-0318
Provider Business Practice Location Address
First Line : 255 MEADOW DR
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1415
Country : US
Telephone Number : 317-745-5451
Fax Number : 317-745-0318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 02/05/2026

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Directions to “ MRS. RACHEL COOPER PTA” Practice Location

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