Provider Demographics
NPI:1386522449
Name:DAWNTA-COOPER, LASHONNA FAITH
Entity type:Individual
Prefix:
First Name:LASHONNA
Middle Name:FAITH
Last Name:DAWNTA-COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 HEMPSTEAD 35 N
Mailing Address - Street 2:
Mailing Address - City:OZAN
Mailing Address - State:AR
Mailing Address - Zip Code:71855-9087
Mailing Address - Country:US
Mailing Address - Phone:870-557-2265
Mailing Address - Fax:
Practice Address - Street 1:3432 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-2747
Practice Address - Country:US
Practice Address - Phone:870-330-3088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPTA4906225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant