Provider Demographics
NPI:1578693206
Name:COONER, HELEN BELLA (LAC LMT OMD)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:BELLA
Last Name:COONER
Suffix:
Gender:F
Credentials:LAC LMT OMD
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Mailing Address - Street 1:4725 N 73RD ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251
Mailing Address - Country:US
Mailing Address - Phone:602-625-6612
Mailing Address - Fax:480-945-9053
Practice Address - Street 1:3080 N CIVIC CT PLAZA
Practice Address - Street 2:SUITE 12
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:602-625-6612
Practice Address - Fax:480-945-9053
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0102171100000X
AZMT03648P225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist