Cooley, Donald Ray

Cooley, Donald Ray is an individual health care provider with primary practice located at 2502 S Ashland Ave , Green Bay WI 54304-5252. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Cooley, Donald Ray can be contacted via phone (920) 272-3380.

Contact Information

Primary practice address
2502 S Ashland Ave Green Bay WI 54304-5252
Phone: (920) 272-3380
Fax: (920) 429-1708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10641-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 172-039 Wisconsin

Profile Details

NPI number 1982758876
LBN Legal business name Cooley, Donald Ray
Credentials DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Mar 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982758876 NPPES
Wisconsin MEDICAID 36160200

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