IndividualActive
Brian Cooper, CMT/LMT
NPI 1801130794 · Mechanotherapist · Gainesville, VA
Provider details
- NPI number
- 1801130794
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- CMT/LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0019009629 (VA)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
7450 Heritage Village Plz
Suite 201
Gainesville, VA 20155-3090
Phone: (973) 800-5194
Approximate (ZIP-level) locationGet directions
Mailing address
9272 Caladium Dr
Manassas, VA 20110-6083
Registry dates
- Enumerated
- 2012-11-16
- Last updated
- 2013-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.