Individual
MICHAEL HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096003069
IL
246Z00000X
Other Specialist/Technologist
Primary
#AT5996
TX
Other
Enumeration date
11/15/2011
Last updated
03/15/2015
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