Individual
BROOKE E. SCHUPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 GOODMAN RD E, SUITE 108, SOUTHAVEN, MS 38672-9303
(662) 253-9060
(662) 253-9069
Mailing address
2001 MALLORY LN, SUITE 201, FRANKLIN, TN 37067-8233
(615) 373-9461
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5637
MS
Other
Enumeration date
08/20/2014
Last updated
11/10/2014
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