Olivia P Cooper (NPI# 1215410642, PAC ID# 1153674668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1215410642 |
| PAC ID by PECOS | 1153674668 |
| Professional Enrollment ID | I20181031001033 |
| Full Name | Olivia P Cooper |
| Organization Legal Name | BODIES IN BALANCE OF TWO HARBORS, INC. |
| Address |
45 Banks Blvd Silver Bay MN 55614-1337 |
| Phone Number | 2188342586 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7618881988 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 45 Banks Blvd, Silver Bay, MN 55614-1337 | 2188342586 | BODIES IN BALANCE OF TWO HARBORS, INC. |
| 1451 Hwy 2, Two Harbors, MN 55616-4600 | 2188342586 | BODIES IN BALANCE OF TWO HARBORS, INC. |
| Organization Legal Name | BODIES IN BALANCE OF TWO HARBORS, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Phipps-poe | Physical Therapy | Bodies In Balance of Two Harbors, Inc. | 1451 Hwy 2, Two Harbors, MN 55616-4600 |
| Carl J Keller | Physical Therapy | Bodies In Balance of Two Harbors, Inc. | 1451 Hwy 2, Two Harbors, MN 55616-4600 |
| Sarah G James | Speech Language Pathologist | Bodies In Balance of Two Harbors, Inc. | 1451 Hwy 2, Two Harbors, MN 55616-4600 |
| Street Address |
45 BANKS BLVD |
| City | SILVER BAY |
| State | MN |
| Zip | 55614-1337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally L Bruestle | Physician Assistant | St Lukes Hospital of Duluth | 50 Outer Dr, Silver Bay, MN 55614-1102 |
| Jacob R Oestreich | Family Medicine | St Lukes Hospital of Duluth | 50 Outer Dr, Silver Bay, MN 55614-1102 |
| City | SILVER BAY |
| Zip Code | 55614 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SILVER BAY + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.