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Individual

MICHAEL HOPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3417 GRANT LINE RD, SUITE 102, NEW ALBANY, IN 47150-2164
(812) 406-6150
Mailing address
3417 GRANT LINE RD, SUITE 102, NEW ALBANY, IN 47150-2164
(812) 406-6150

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21304757
KY

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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