Shane Lowell Koppenhaver in Fort Sam Houston - Orthopedic
Shane Lowell Koppenhaver - NPI 1952385163
Shane Lowell Koppenhaver is a Orthopedic in Fort Sam Houston, Texas. Shane Lowell Koppenhaver practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Shane Lowell Koppenhaver is 1952385163. The last update date is 2007-07-08.
Shane Lowell Koppenhaver's current location address is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109161920. The mailing address for Shane Lowell Koppenhaver is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Lowell Koppenhaver |
|---|---|
| Address | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109161920 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MPT, OCS |
NPI Number Detail
| NPI Number | 1952385163 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3851 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344501 |
| Phone Number | 2109161920 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 2305006682 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique 10-digit identification code issued to Shane Lowell Koppenhaver by the Centers for Medicare & Medicaid Services?
The Shane Lowell Koppenhaver has been assigned the NPI (National Provider Identifier) 1952385163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shane Lowell Koppenhaver is physically located?
The Shane Lowell Koppenhaver is physically situated at the following address: 3851 Roger Brooke Dr, Fort Sam Houston, TX, 782344501.
What is Shane Lowell Koppenhaver's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane Lowell Koppenhaver is Orthopedic, and the taxonomy code that categorizes this field of expertise is 2251X0800X.
On what date did the Shane Lowell Koppenhaver receive the assignment of its 1952385163 from the Centers for Medicare & Medicaid Services?
The Shane Lowell Koppenhaver was issued its 1952385163 by the Centers for Medicare & Medicaid Services on 2005-12-01.
When was the Shane Lowell Koppenhaver's information last updated?
The Shane Lowell Koppenhaver's information was last updated on 2007-07-08.