Individual
MRS. NIKI L KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2701 S HIGHWAY 183 STE D, LEANDER, TX 78641-2366
(512) 259-5667
(512) 259-4573
Mailing address
2701 S HIGHWAY 183 STE D, LEANDER, TX 78641-2366
(512) 259-5667
(512) 259-4573
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1098911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108026903
—
TX
01
—
2334512
CIGNA
TX
01
—
714081
ACN GROUP
TX
01
—
8T7255
BCBS
TX
Enumeration date
07/31/2007
Last updated
04/16/2014
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