Organization
HOPPER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCEE W HOPPER PHYSICAL THERAPIST (OWNER/PHYSICAL THERAPIST)
(606) 526-1019
Entity
Organization
Contact information
Practice address
1805 S MAIN ST, SUITE #5, CORBIN, KY 40701-2406
(606) 526-1019
(606) 526-1038
Mailing address
PO BOX 1740, CORBIN, KY 40702-1740
(606) 526-1019
(606) 526-1038
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
002056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000279620
ANTHEM
KY
Enumeration date
08/20/2007
Last updated
08/20/2007
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