KIERSTON COOPER

INDIANAPOLIS, IN
NPI1740878792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36002401A)
Enumeration Date2021-01-05
Last Update Date2021-01-05
Business Address
MR. KIERSTON COOPER MS, LAT, ATC
7822 SNOWFLAKE DR
INDIANAPOLIS, IN 46227-8077
Phone number: 502-741-6856
Mailing Address
MR. KIERSTON COOPER MS, LAT, ATC
7822 SNOWFLAKE DR
INDIANAPOLIS, IN 46227-8077
Phone number: 502-741-6856