Individual
DR. BRIAN SCOTT HOPPESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, MS, PT
Contact information
Practice address
562 MARINER POINT DRIVE, CLINTON, TN 37716
(865) 457-6465
(865) 381-1205
Mailing address
562 MARINER POINT DRIVE, CLINTON, TN 37716
(865) 457-6465
(865) 381-1205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000004932
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER 262
PROF, SUPPORT SERVICES
TN
Enumeration date
10/05/2006
Last updated
07/08/2007
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