Doctor Name: | MRS. NIKI L KOOP |
NPI Number: | 1346430733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1098911 |
Business Practice Address: | 2701 S Highway 183 Ste D Leander, TX - 786412366 |
Business Phone Number: | 5122595667 |
Business Fax Number: | 5122594573 |
Mailing Address: | 2701 S Highway 183 Ste D, LEANDER |
State: | TX |
Postal Code: | 786412366 |
Phone Number: | 5122595667 |
Fax Number: | 5122594573 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1098911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |