Organization
KOOP PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKI L KOOP P.T., D.P.T. (PRESIDENT/OWNER)
(512) 259-5667
Entity
Organization
Contact information
Practice address
2701 S HWY 183, SUITE D, LEANDER, TX 78641-2366
(512) 259-5667
(512) 259-4573
Mailing address
2701 S HWY 183, SUITE D, LEANDER, TX 78641-2366
(512) 259-5667
(512) 259-4573
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041PQ
BCBS
TX
01
—
2334512
CIGNA
TX
01
—
714081
ACN GROUP
TX
Enumeration date
06/18/2007
Last updated
03/30/2016
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