IndividualActive
Benjamin Cooley, P.T.
NPI 1700901154 · Physical Therapist · Laurel, MS
Provider details
- NPI number
- 1700901154
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- CP046738T (TX)
Practice location
1220 Jefferson St
Rehab Department
Laurel, MS 39440-4355
Phone: (601) 426-4119
Fax: (601) 426-4768
Mailing address
83 Merchant Cir
Ellisville, MS 39437-7204
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.