Doctor Name: | MRS. MICHELLE LEE SHINE KOOP |
NPI Number: | 1720178551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 009659 |
Business Practice Address: | 4041 W Sylvania Ave Suite 102 Toledo, OH - 436234465 |
Business Phone Number: | 4194710400 |
Business Fax Number: | 4194710403 |
Mailing Address: | 4041 W Sylvania Ave, Suite 102 TOLEDO |
State: | OH |
Postal Code: | 436234465 |
Phone Number: | 4194710400 |
Fax Number: | 4194710403 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 009659 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |