IndividualActive
Mac Cooper, PTA
NPI 1831627710 · Physical Medicine & Rehabilitation Physician · Salmon, ID
Provider details
- NPI number
- 1831627710
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA5126 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
802 Shoup St
Salmon, ID 83467-4305
Phone: (208) 756-2005
Fax: (208) 756-4020
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1107
Salmon, ID 83467-1107
Registry dates
- Enumerated
- 2017-05-23
- Last updated
- 2017-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.