Provider Demographics
NPI:1184009441
Name:COOPER, ALISON (DC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 MEMORIAL BLVD STE 1258
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2791
Mailing Address - Country:US
Mailing Address - Phone:615-494-1125
Mailing Address - Fax:615-494-1127
Practice Address - Street 1:710 MEMORIAL BLVD STE 1258
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2791
Practice Address - Country:US
Practice Address - Phone:615-494-1125
Practice Address - Fax:615-494-1127
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor