| Organization Name: | COOPERATIVE PERFORMANCE & REHABILITATION, LLC |
| NPI Number: | 1528387248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENJI CARP (OWNER/CLINIC DIRECTOR) |
| Mailing Address: | 90 E 27th Ave Eugene |
| State: | OR US |
| Postal Code: | 974053785 |
| Phone Number: | 5416539696 |
| Fax Number: | 5416539669 |
| NPI Enumeration Date: | 05/20/2010 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |