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MR. THEAVIS COOPER JR. ATC
NPI 1073064226
Specialist/Technologist - Athletic Trainer in Wesson, MS

Active since October 21, 2016
1028 JC REDD DR WESSON, MISSISSIPPI 39191, WESSON, MS 39191(601) 643-8479 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2019, Oct 21, 2016 (2 updates tracked since 2016).

About Mr. Theavis Cooper Jr. Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEAVIS COOPER JR. ATC (NPI 1073064226) is an individual athletic trainer provider in Wesson, Mississippi and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1073064226
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. THEAVIS COOPER JR.Credential: ATC
Location Address1028 JC REDD DR WESSON, MISSISSIPPI 39191Wesson, MS 39191
Mailing Address507 Highway 51 N, Po Box 948Brookhaven, MS 39601 · (601) 754-8008
Phone(601) 643-8479
Sole ProprietorYes
Enumeration DateOctober 21, 2016
Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration
✔ NPI 1073064226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1028 JC REDD DR WESSON, MISSISSIPPI 39191, Wesson, MS 39191
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theavis Cooper's NPI number?

The NPI number for Theavis Cooper is 1073064226. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Where is Theavis Cooper located?

Theavis Cooper practices at 1028 Jc Redd Dr Wesson, Mississippi 39191, Wesson, MS 39191. The listed phone number is (601) 643-8479.

What is Theavis Cooper's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Theavis Cooper was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.