| Doctor Name: | MIRANDA R SOPER |
| NPI Number: | 1932492394 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | T 02926 |
| Business Practice Address: | 444 Four States Dr Suite 1 Galena, KS - 667394324 |
| Business Phone Number: | 6207834441 |
| Business Fax Number: | 6207834444 |
| Mailing Address: | Po Box 2546, JOPLIN |
| State: | MO |
| Postal Code: | 648032546 |
| Phone Number: | 6207834441 |
| Fax Number: | 6207834444 |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 12/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | T 02926 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| 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 |