Individual
NICOLE KAY HOPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
433 SOUTHTOWNE DR APT J208, SOUTH MILWAUKEE, WI 53172-4163
(414) 852-4772
Mailing address
433 SOUTHTOWNE DR APT J208, SOUTH MILWAUKEE, WI 53172-4163
(414) 852-4772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1325-39
WI
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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