Provider Demographics
NPI:1861600660
Name:HOPKINS, DEBRA ANNE (RPT)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANNE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ADRIANNE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPT
Mailing Address - Street 1:15 LINDENWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:ST JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64505-1834
Mailing Address - Country:US
Mailing Address - Phone:816-390-8547
Mailing Address - Fax:
Practice Address - Street 1:2416 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:MO
Practice Address - Zip Code:64468
Practice Address - Country:US
Practice Address - Phone:660-582-3768
Practice Address - Fax:660-582-2807
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO101401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist