Organization
KOOP FAMILY PHYSICAL THERAPY LLC
Active
Organization
KOOP FAMILY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHELLE LEE SHINE KOOP DPT (MEMBER OF LLC)
(419) 471-0400
Entity
Organization
Contact information
Practice address
4859 W SYLVANIA AVE STE A, TOLEDO, OH 43623-3372
(419) 471-0400
(419) 471-0403
Mailing address
4859 W SYLVANIA AVE STE A, TOLEDO, OH 43623-3372
(419) 471-0400
(419) 471-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2714094
—
OH
Enumeration date
10/13/2006
Last updated
11/30/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up